RDC Dog Registration

Dog Information
Dog's Name (How You Want It To Appear On The Title)*
Dog Call Name*
Breed (If Mix Please put All American)*
Date of Birth (If Known)

MonthDayYear
Date
Gender*

MaleFemale
Height at the Withers*

Small - 12" or underMedium - 12.1" to 18"Large - 18.1" or taller
Class*

RegularSpecials/Senior - Dog with any kind of Impairment or a dog over the age of 9Jr. Handler
If Special/Senior selected please provide additional details

Owner Information
Owner

First NameLast Name
Owner*
Full Name of Owner
Co-owner*

YesNo
Co-Owner Full Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
Email (Where you would like title certificates to be emailed)*
example@example.com
Jr. Handler Full Name

First NameLast Name

Payment Information
Other Payment Options*

CashCheckPaypal - Registration Fee is a One Fee of $20 Per Dog. If wanting to use Paypal to pay please add $2 to the Fee and Include the transaction number. Paypal email address is rodeodoglover@gmail.comOther
Paypal Transaction Number*
Check #*
Should be Empty: