CSKC Membership Renewal Form

Colorado Springs Kennel Club

2027 Membership Renewal

PLEASE FILL OUT & RETURN ANNUALLY • DUES PAYABLE BY DEC 31, 2026

Name(s):

Address:

City:

State:

Zip:

Home Phone:

Cell:

Email:

Membership Status

Breeder Exhibitor Judge Dog Owner

Family Members / Children:

Year Joined:

Years in good standing:

Currently under AKC suspension? YES / NO (Circle one). If yes, attach explanation.

Breeds & Activities

Current Breeds:

List in Breeder Referral? YES / NO

Circle activities you are willing to help with:

Conformation • Agility • Obedience • Rally • Lure Coursing • Scentwork • Hunt Tests • Field Trials • CAT Trials • Herding

Other:

Dues & Donations

Membership Type (Circle One)	Amount
Regular ($30) / Family ($45) / Associate ($20) / Junior ($10) / Lifetime ($0)	$_____________
Voluntary Donations:
CSKC Trophy Fund	$_____________
AKC Canine Health Foundation	$_____________
Colorado Federation of Dog Clubs	$_____________
TOTAL ENCLOSED:	$_____________

Agreement

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. Disregard for the same may be grounds for dismissal from the club, for which no dues shall be refunded. I acknowledge that most correspondence by and of the CSKC is done electronically. It is my responsibility to keep my contact information current.

Applicant Signature:

Date:

Spouse Signature (Family):

Date: