First and Last Name:
D.O.B./Age
Street Address
City:
State:
Zip:
Cell phone:
Email Address:
Animal Experience: (check all that apply)
Veterinary Hospital
Boarding Facility
Foster Home
Dog Grooming
Cat Grooming
Shelter Work
Training/Obedience
Pet Sitting
Farm Animals
Breeder
Continued Education/ Seminars/ Workshops
If you would like to comment more on your experience with the above, please do so here:
Please Fill Out a NEW Form for Each Dog**
I know it's tedious, but necessary. Thanks!
Dog's Face Photo
Dog's Full Body Photo
Dog's Registered Name
Dog's Call Name
Breed
Color / Coat Type Variation/ Markings
Gender & Intact or Fixed
Age
Enter # ,If registered with AKC, UKC, or Other
Dog Breed Ambassador's Resume
List dog's accomplishments. Ie. dog sports, community works, training, competitions, family life...
Why should your dog be its breed ambassador for this event?
What is your dog's personality?
Happy-Go-Lucky
Class Clown / Rowdy
Confident Go Getter
Mellow / Independent Bookworm
Reserved / Shy / Introvert
What is your dog's energy level?
Low
Low to Moderate
Moderate
Moderate to High
High
Does your dog tend to be more...
Dominate to Males
Dominated to Females
Submissive to Males
Submissive to Females
Is your dog stable around young kids?
Yes
No
Day-to-Day Selective
Is your dog stable around different dogs?
Yes
No
Day-to-Day Selective
Dog Preference
Small Dogs
Large Dogs
Both
Is your dog current on vaccinations/titer test?
Yes
No
If yes, please provide records
Browse Files
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Choose a file
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If any allergies to a vaccine(s) Upload Vet. Note
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Choose a file
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Is your dog current on Heartworm /Flea and Tick Preventatives?
Yes
No
Other Experience: (check all that apply)
Agility
Scentwork
Rally
Obedience
Dock Diving
Disc Dog
Fly Ball
Lure Coursing
Fast Cat / Cabt
SAR
Bite Sports
Schutzhund
Conformation
Barn Hunt
AKC STAR Puppy
CGC,CGCA,CGCU
Trick Dog
Fit Dog
Therapy
Service
Herding
Farm Dog Title
Livestock Guardian
Hunting
Other
If you listed other, please explain:
If you would like to comment more on your experience with the above, please do so here:
Anything else you would like to say, please note it here:
Reference #1 (Name, phone #, email and relationship to self)
I, THE APPLICANT(S) CERTIFY ALL INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.
Signature
Thank you for applying your pup to be one of many breed ambassadors for our 2025 Canine Professionals Pawposium Event in Bethany, Oklahoma on September 13th & 14th! We have limited spots per breed ,and are carefully reviewing all applicants. We will inform you via email if you are selected, and will elaborate on what is expected :D Note: Breed Ambassadors will receive a discounted admission ticket, and goodie bag.
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