All Dogs Parkour Registration Form

All Dogs Parkour Registration Form

Please complete a separate form for every dog that you register. You may pay for multiple dogs with a single PayPal transaction. The Registration fee is $15.00 per dog, payable to ADPTitling@gmail.com
Handler Name

First NameLast Name
Handler Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Call Name of Dog
Certificate Name of Dog. (Titles will not be printed on certificates)
Dog is:

MaleFemale
Dog Date of Birth (Approximate if Unknown)
Breed of Dog (Or, All American, All Canadian, Particular Breed Mix)
Division

Open DivisionSpecial Division
For Special Division, state dog's age and/or physical challenge (see Rules and Guidelines). Dogs in Special will have an "S" after the registration number. Dogs in Open may move to Special when reaching the eligible age or becoming physically challenged.
Instructions:

1. Complete this form.
2. Make a single payment for all dogs you are registering at PayPal to ADPTitling@gmail.com
Should be Empty: