For a printable application please click here.

 

To apply online please use the form below. 

 

Please remember your application will only be reviewed upon receipt of application dues.

 

Name(s):
Phone:   
Email:    
Address:
Are you over 18 years of age?   Yes   No
   
Number of dogs currently owned:       Co-Owned:
   
Number of dogs currently owned who are spayed or neutered? 
   

Breed(s) of dogs currently owned.

   
Do you exhibit in:
Breed Yes   No
Obedience Yes   No
Other Yes   No
   
If "yes", indicate the average number of shows per year. 
   
If "no", would you be interested in:
Breed Yes   No
Obedience Yes   No
Other Yes   No
   
Have you ever registered a litter with the AKC?
  Yes   No
   
Have you ever bred a litter which was not registered with the AKC?
  Yes   No
   
If you do breed, how many litters do you breed per year?
 
   
If you have not yet bred a litter, do you have any interest in breeding?
  Yes   No
   

List any dog clubs to which you belong.

 

 

Describe any dog related activities in which you are currently involved.

 

 

Describe any club related activities in which you would be interested in participating.

 

 

 

 

 

 

 

Copyright 2003, Cyclone Country Kennel Club --  Ames, Iowa

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