Colorado Springs Kennel Club

Step 1: Membership & Personal Info

Select Membership Type

Regular Membership ($30.00)

Regular Membership is for one person.

Family Membership ($45.00)

Two persons in the same household, living in the Colorado Springs area.

Associate Membership ($20.00)

For those who cannot attend meetings (Non-voting).

Please select a membership type.

Full Name

Please enter your name.

Date

Street Address

City

State

ZIP Code

Telephone

Email Address

Valid email required.

Occupation

Step 2: Experience & Interests

Step 3: Activities, Titles & Breeder Info

Shows/trials participated in past 3 years

Approximate number of dogs titled in:

Conformation

Obedience

Agility

Lure Coursing

CAT Trials

Field

Other Titles (Describe)

Membership in other dog clubs

Breeder Referral Listing (Optional)

Include in Breeder Referral Listing?

Yes

No

Step 4: AKC Status & Signature

Have your AKC privileges ever been suspended?

Yes

No

By signing below, I agree to abide by the Bylaws and Constitution of the Colorado Springs Kennel Club, and to abide by the American Kennel Club's Code of Sportsmanship.

Applicant Signature

Date

Spouse Signature (if Family Membership)

Date

Membership Application

Step 1: Membership & Personal Info

Step 2: Experience & Interests

Step 3: Activities, Titles & Breeder Info

Breeder Referral Listing (Optional)

Step 4: AKC Status & Signature