Interested in Becoming a Chintimini Kennel Club Member?

Interested in Becoming a Chintimini Kennel Club Member?
Before submitting an membership application, an applicant must attend at least 1 club meeting or volunteer at a CKC sponsored event prior to submitting your application. Membership vote is held after the reading of the application at the next club meeting.

To be contacted by the Club about membership please complete this form.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*

Confirmation Emailexample@example.com
Applicant Phone Number*
Please enter a valid phone number.
Type of Membership:*

Individual/Household (voting)Associate (non voting)Junior (non-voting - please enter age below)
Please list dog breed(s) you have owned (past and present; enter "none" if appropriate):*
I (we) am (are) interested in:*

ConformationObedienceRallyAgilityPetBreedingField EventLure Coursing
Other Interests in addition to above?*
List member's of Chintimini Club that can sponsor you membership*
Why do you want join Chintimini Kennel Club?*
Should be Empty: