GSSCC 360 Dog Registration
Dog's to be registered by owner
Name
*
First Name
Last Name
Membership Organization
*
Please Select
USCA
GSDCA
SV
Membership Number
*
Expiration Date
*
-
Month
-
Day
Year
Date
Please upload a copy of your membership card
*
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Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Dog's Registered Name
*
Date of Birth
*
-
Month
-
Day
Year
Date
Male / Female?
*
Male
Female
Coat
*
Stock
Long-Stock
Breeder's Name
*
First Name
Last Name
Registration Organization
*
Please Select
AKC
CKC
SV
Registration Number
*
Is the dog co-owned
*
No
Yes
Co-Owner
*
First Name
Last Name
The dog has:
*
A Tattoo
A Microchip
Both
Tattoo Number
*
Microchip
*
Titles
*
Please Select
None
IGP/IPO 1
IGP/IPO 2
IGP/IPO 3
Does the dog have a Breed Survey?
Yes
No
Sire
*
Dam
*
Registration
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Pedigree
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Scorebook
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Breed Survey
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Which event would you like to enter this dog in?
*
Please Select
East Region Sieger Show
Prairie Region Sieger Show
Ontario Region Sieger Show
Quebec Region Sieger Show
West Region Sieger Show
Canadian Sieger Show
A GSSCC Trial
Club
Date Trial Starts
Will you be entering:
The Show
Breed Survey
Both the Show & Survey
Photo of Dog
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