Cornish Dog Club Membership Application 🐶🎉

Cornish Dog Club Membership Application 🐶🎉

Complete the form to join and share your dog’s details and training goals.
Applicant Details
Applicant full name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Postcode
Telephone number
Please enter a valid phone number.Format: (000) 000-0000.
Email address
example@example.com
Emergency contact name
Emergency contact telephone number
Please enter a valid phone number.Format: (000) 000-0000.
Dog Details
Dog’s Name
Breed
Date of Birth

MonthDayYear
Date
Age (Years)
Sex
Neutered
How Long Has the Dog Been Owned? (Years)
Where Was the Dog Obtained From?
Microchipped
Vaccinated
Any Known Medical Conditions, Injuries or Physical Limitations
Training History
Did your dog attend puppy training?
If yes, where was puppy training attended?
Did your dog attend obedience classes?
If yes, where were obedience classes attended?
Which certifications has your dog completed?

Other
If Other, please specify certification details
Which activities has your dog previously participated in?

Other
Current Skills
Which skills can your dog currently perform reliably?

Other
Please provide details for any other skills
What are your dog’s strongest skills, and what would you most like to improve?
Temperament & Behaviour
Describe your dog's temperament
How does your dog react to unfamiliar people?

Other
How does your dog react to other dogs?

Other
Has your dog ever bitten or injured a person or another dog?
Does your dog display any of the following behaviours?
Your Interests
Which activities are you most interested in?
What would you like to achieve with your dog over the next 12 months?
Membership Questions
Why do you want to join the Cornish Dog Club?
What do you hope to gain from your membership?
How did you hear about the Cornish Dog Club?
Accessibility & Support
Do you have any mobility requirements, disabilities, health conditions, or additional support needs we should know about?
If yes, please provide details
Which activities may be difficult due to mobility or health considerations?

Other
Other / additional explanation
Club Commitment
Able to attend regular Sunday training sessions?
Willing to support club events, annual trials and activities where possible?
Declaration
Declaration
Name

First NameMiddle NameLast Name
Signature
Date

MonthDayYear
Date
Should be Empty:

Cornish Dog Club Membership Application 🐶🎉

Applicant Details

Dog Details

Training History

Current Skills

Temperament & Behaviour

Your Interests

Membership Questions

Accessibility & Support

Club Commitment

Declaration