Dog Registration Application – US Canine Parkour

Dog Full/Registered Name

Optional. If provided, the dog’s registered name will be printed on certificates instead of the call name.

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Dog Call Name

Sex

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Breed

Birthdate

Owner Name

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

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Telephone

Email

Owner Certification

I certify that the information given in this application is true and accurate. I certify that I am the actual and legal owner of the dog and that the dog has never been previously registered with USCP. I understand that falsely certifying the above information may subject me to disciplinary action. I agree to abide by all of the rules and regulations of US Canine Parkour.

Signature Agreement

By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.

Owner Signature

Registration Fee

Price: $ 20.00

Payment Details