EmailMe Form - Copy of CBKC Pre Registration Application

Name Of Owner *

First Last

Email *

Phone *

### - ### - ####

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Information Of Dog

Please provide the following information below

Registered Name Of Dog *

First Last

CBKC Number *

Class Type *

Age *

Sex *

Name Of Breeder Or Kennel

First Last

Dog Show Handler

Name *

First Last

Relationship *

Phone

### - ### - ####

Email

Gender

Male

Female

I understand that this application is for admission only for the term indicated. I agree that I am bound by the Canadian Bully Kennel Club regulations concerning application deadlines and admission requirements.

I certify that this information is complete and accurate. I understand that making false or fraudulent statements within this application or residency statement will result in disciplinary action, denial of admission and invalidation of credit or degrees earned.

If admitted, I agree to abide by the policies of the CBKC and the rules and regulations of the club. Should any information change prior to the show, I will notify the Office of Admissions.

I understand that the application fee I submit with this application is a non-refundable fee.

Please E-Transfer Info@cbkcdogs.ca If you are having trouble with PayPal.
E-Transfer is only $20 (due to no PayPal fee)

For more Info Call CBKC Office at 437 999 2253

Do you understand and agree to the terms listed above?

Yes, I understand and agree to the terms listed above.