AKC Title Evaluation Request Form
Basia Riera, AKC Evaluator
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number (optional)
Please enter a valid phone number.
Format: (000) 000-0000.
Dog's Name
*
Dog's AKC # (required)
*
Dog's Age
*
Which Title Are You Requesting an Evaluation For? (select one)
*
Virtual: Home Manners – Puppy
Virtual: Home Manners – Adult
Virtual: Trick Dog – Novice
Virtual: Trick Dog – Intermediate
Virtual: Trick Dog – Advanced
Virtual: Trick Dog – Performer
In-Person: S.T.A.R. Puppy (Mid-Michigan only)
In-Person: CGC / CGCA / CGCU (Mid-Michigan only)
VIRTUAL EVALUATION: Video Link (YouTube, Dropbox, Google Drive, etc.)
PAYMENT PREFERENCE FOR VIRTUAL EVALUATION (select one): *Please Use the 'Friends & Family' option to avoid fees*
VENMO: @BasiaRiera
PAYPAL: 586-215-0205 or BasiaRiera@gmail.com
ZELLE: 586-215-0205 Basia Riera
IN-PERSON EVALUATION REQUEST: All in-person evaluations are held at Shore Acres in Harrison, Michigan. Please share a few preferred dates and times that work for you, and I’ll follow up via email to confirm availability. Example Response: "Weekdays after 3pm or Saturdays late morning work best for me.”
Any Questions?
Submit
Should be Empty: