Public Access Test Registration

Your Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*

Area CodePhone Number
E-mail*
Dog's Name*
Dog Breed/Size*
Age*
Dog's Sex

MaleFemale
Spayed/Neutered?

YesNo
Test Date Requested

MonthDayYear
Date
Has your dog ever bitten a person?
Has your dog ever bitten another dog?
Previous Training Classes
Has your dog completed the required 120 hours of training? (Must complete training logs & bring with you to test along with a completed health form)

YesNo
CGC Certificate Required
Please upload a copy of your CGC Certificate*

Browse Files

Cancelof
Please upload a photo of your dog- head shot *

Browse Files

Cancelof
Acknowledgement
Click HERE to review the Public Access Test Terms & Conditions.
Acknowledgement*

I agree to the Public Access Test Terms & Conditions.
If you click the Submit Your Registration button and nothing happens, you may have missed some required information. Missing information is marked in red. Please scroll to the red areas to fix this. Thanks.
Should be Empty:

Acknowledgement