Single Registration Application | Professional Kennel Club, LLC

DOWNLOAD APPLICATION FOR SINGLE REGISTRATION CERTIFICATE

1. Download the form using the link below
2. Print and fill out the form
3. Mail the completed form to the specified address

Download Single Registration Form Here (PDF)

You can also fill out the form below to complete the process.

This field is for validation purposes and should be left unchanged.

APPLICATION FOR SINGLE REGISTRATION

Special Note: A copy of the dog’s pedigree from another recognized registry must be attached to this single registration application in order for the dog to be registered in the breed indicated. If the pedigree is not attached, the dog will be registered as a Cross-Bred Hound.

Permanent Registration Fee(Required)

$25 (One-time)

Credit Card Processing Fee(Required)

Price:

Total

Dog’s Name Desired(Required)

Copy of the dog’s pedigree from another recognized registry(Required)

Accepted file types: pdf, jpg, Max. file size: 1 MB.

Owner(Required)

Name

Account #

If jointly owned, use both last names or kennel name of less than twenty (20) letters and spaces.

Your Email(Required)

Owner’s Address(Required)

Street Address or P.O. Box

Address Line 2 (Apartment, suite, etc.) – Optional

City

State / Province

Country

ZIP / Postal Code

Phone(Required)

Phone Preference Time(Required)

Breed(Required)

Color(Required)

Sex(Required)

Dog Date of Birth(Required)

Sire's Name

Name

PKC # (if known)

Dam's Name

Name

PKC # (if known)

Breeder’s Name

Name

Account #

Type Your Full Name to Sign(Required)

Signature

Total

Credit Card(Required)

Card Number, Expiration Date, and CVC

Cardholder Name

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Professional Kennel Club, LLC

Professional Kennel Club, LLC

"The Major League of Competition Coonhunting"

DOWNLOAD APPLICATION FOR SINGLE REGISTRATION CERTIFICATE

You can also fill out the form below to complete the process.

APPLICATION FOR SINGLE REGISTRATION

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