Dog's Registered Name (required)

Dog's Call Name (required)

AKC Registration Number (required)

Sire

Dam

Breeder(s)

Owner/Co-Owner (required)

Address (required)

Phone number (required)

Email address (required)

GCA Member?
YesNo

Requirement -- 8 titles of any level from 8 different categories
or 6 mid-level or higher titles from 6 different categories

1) First category -- choose one
Running in company (lure coursing, Amateur Racing, Open Field Coursing)AgilityObedienceRallyTrackingScent workBarn huntRunning alone (Lure Coursing Singles, CAT, FastCAT)Canine Good Citizen / Trick Dog / Farm Dog CertifiedTherapy DogDock DivingFlyballWeight PullSearch and rescue

Enter title earned, title level, date earned, and documentation for any non-AKC title

Upload documentation for non-AKC title (2 MB or smaller)

2) Second category -- choose one
Running in company (lure coursing, Amateur Racing, Open Field Coursing)AgilityObedienceRallyTrackingScent workBarn huntRunning alone (Lure Coursing Singles, CAT, FastCAT)Canine Good Citizen / Trick Dog / Farm Dog CertifiedTherapy DogDock DivingFlyballWeight PullSearch and rescue

Enter title earned, title level, date earned, and documentation for any non-AKC title

Upload documentation for non-AKC title (2 MB or smaller)

3) Third category -- choose one
Running in company (lure coursing, Amateur Racing, Open Field Coursing)AgilityObedienceRallyTrackingScent workBarn huntRunning alone (Lure Coursing Singles, CAT, FastCAT)Canine Good Citizen / Trick Dog / Farm Dog CertifiedTherapy DogDock DivingFlyballWeight PullSearch and rescue

Enter title earned, title level, date earned, and documentation for any non-AKC title

Upload documentation for non-AKC title (2 MB or smaller)

4) Fourth category -- choose one
Running in company (lure coursing, Amateur Racing, Open Field Coursing)AgilityObedienceRallyTrackingScent workBarn huntRunning alone (Lure Coursing Singles, CAT, FastCAT)Canine Good Citizen / Trick Dog / Farm Dog CertifiedTherapy DogDock DivingFlyballWeight PullSearch and rescue

Enter title earned, title level, date earned, and documentation for any non-AKC title

Upload documentation for non-AKC title (2 MB or smaller)

5) Fifth category -- choose one
Running in company (lure coursing, Amateur Racing, Open Field Coursing)AgilityObedienceRallyTrackingScent workBarn huntRunning alone (Lure Coursing Singles, CAT, FastCAT)Canine Good Citizen / Trick Dog / Farm Dog CertifiedTherapy DogDock DivingFlyballWeight PullSearch and rescue

Enter title earned, title level, date earned, and documentation for any non-AKC title

Upload documentation for non-AKC title (2 MB or smaller)

6) Sixth category -- choose one
Running in company (lure coursing, Amateur Racing, Open Field Coursing)AgilityObedienceRallyTrackingScent workBarn huntRunning alone (Lure Coursing Singles, CAT, FastCAT)Canine Good Citizen / Trick Dog / Farm Dog CertifiedTherapy DogDock DivingFlyballWeight PullSearch and rescue

Enter title earned, title level, date earned, and documentation for any non-AKC title

Upload documentation for non-AKC title (2 MB or smaller)

7) Seventh category (if necessary) -- choose one
Running in company (lure coursing, Amateur Racing, Open Field Coursing)AgilityObedienceRallyTrackingScent workBarn huntRunning alone (Lure Coursing Singles, CAT, FastCAT)Canine Good Citizen / Trick Dog / Farm Dog CertifiedTherapy DogDock DivingFlyballWeight PullSearch and rescue

Enter title earned, title level, date earned, and documentation for any non-AKC title

Upload documentation for non-AKC title (2 MB or smaller)

8) Eighth category (if necessary) -- choose one
Running in company (lure coursing, Amateur Racing, Open Field Coursing)AgilityObedienceRallyTrackingScent workBarn huntRunning alone (Lure Coursing Singles, CAT, FastCAT)Canine Good Citizen / Trick Dog / Farm Dog CertifiedTherapy DogDock DivingFlyballWeight PullSearch and rescue

Enter title earned, title level, date earned, and documentation for any non-AKC title

Upload documentation for non-AKC title (2 MB or smaller)

Upload photo of dog for GCA's Facebook page and website (2 MB or smaller)

Enter text to be used in GCA Newsletter -- 50 words maximum (free for GCA members)

Check if all data is correct? --

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