CRN Request Form

DSA Competition Registration Number (CRN) Request Form

Complete a separate registration form for each dog you are registering. Each dog needs only one CRN to compete in any and all DSA Competitions and to apply for Trail Dog Titles. Registration confirmation will be emailed to you. Please allow up to 4 weeks for processing. Email titles@dogscouts.org with any questions or requests for expediting.
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *
E-mail *
example@example.com
If you have previously registered with DSA, list the first 6 digits of your CRN:
Dog Information
Name
Breed/Mix
Birthdate (or best guess)
Gender

Female, intact Female, spayed Male, intact Male, neutered
Height at Shoulder
Approximate Weight
Dog Information *
I confirm that I am a responsible pet owner (check each box)

My dog travels safely in my vehicle (canine seatbelt, crate, etc.) My dog gets a health checkup from a veterinarian annually My dog has a permanent ID (microchip or tattoo) I am prepared for an emergency (first aid kit, travel safety information) We "leave no trace" in public (pick up poop, don't litter or pollute, etc.) We use positive reinforcement training methods (treats, toys, etc.)

Please select one of the following: *

DSA CRN Registration for DSA-Member

$ 15.00

DSA CRN Registration for Non-Member

$ 20.00

Total

$ 0.00

DSA Competition Registration Number (CRN) Request Form