Membership Application

Step 1: Membership & personal info

Membership type

Regular membership ($30.00) Regular Membership is for one person.

Family membership ($45.00) Two persons in the same household, living in the Colorado Springs area.

Associate membership ($20.00) For those who cannot attend meetings (non-voting).

Please select a membership type.

Full name

Please enter your name.

Date

Please enter today’s date.

Street address

Please enter your street address.

City

Please enter your city.

State

Please enter your state.

ZIP code

Please enter your ZIP code.

Telephone (optional)

Email address

Please enter a valid email address.

Occupation (optional)

Step 2: Experience & interests

Step 3: Activities, titles & breeder info

Shows and trials you took part in over the past 3 years (optional)

Approximate number of dogs titled in:

Conformation

Obedience

Agility

Lure Coursing

CAT Trials

Field

Other titles (describe) (optional)

Membership in other dog clubs

Breeder referral listing (optional)

Include me in the Breeder Referral listing?

Yes

No

Step 4: AKC status & signature

Have your AKC privileges ever been suspended?

Yes

No

By signing below, I agree to abide by the Bylaws and Constitution of the Colorado Springs Kennel Club, and to abide by the American Kennel Club's Code of Sportsmanship.

Applicant signature

Type your full name to sign.

Please type your full name to sign.

Date

Please enter today’s date.

Spouse signature (Family membership)

Date

Step 1: Membership & personal info

Step 2: Experience & interests

Step 3: Activities, titles & breeder info

Breeder referral listing (optional)

Step 4: AKC status & signature