WORLD KENNEL CLUB®

REGISTRATION APPLICATION

(512) 772-2490

W.K.C. PO BOX 803 Smithville, TX 78957

Your Email Address:

RUSH FEE $10 - It takes about 4 to 5 weeks to get your paperwork back, however if you pay a rush fee you should recieve your paperwork within 2 to 3 weeks after we recieve it.

UPLOAD PHOTOGRAPHS - Front and Side View Required!

THE PICTURES MUST BE COLOR AND GOOD QUALITY

Choose two names for your dog. If your first choice is already taken we will use the second. There cannot be two of the same breed of dog with the same name.

1st Name Choice:

2nd Name Choice:

Breed:

Color:

Sex (M/F):

Date of Birth:

Fill as much information out as possible. Dog should be at least 6 months of age.

Sire Name and if registered put Name of Club and Reg. Number; if known:

Dam Name and if registered put Name of Club and Reg. Number; if known:

Breeders Name; if known:

Breeders Address, City and State; if known:

PICTURES (UPLOAD IMAGES)

To add your image(s):
(step 1): click 'Choose File' and browse to the image file on your computer and select it

(step 2): click on 'Upload'

(step 3): wait for your file to upload - you will see see a message telling you the file has uploaded.

Pictures are required! (file types allowed:jpg,gif,png)
If you are unable to upload images please attach them to an email and send the email to worldkennelclub@gmail.com (be sure to put the 1st Name Choice in the subject)

 Upload 

 Upload 

 Upload 

 Upload 

$30.00 APPLICATION FEE

WKC® reserves the right to cancel this application for cause of error or misrepresentation by any party. By signing below, you're stating your dog is pure and will continue to breed pure.

Owner’s Name:

Owner’s Address:

Owner’s Phone Number:

Owner’s City, State, Zip:

City: State/Province: Zip:

If out of the United States of America, list Country:

*This application cannot be used for transfer of ownership of dog.

PAYMENT PROCESSING:

AMOUNT TO PAY:

Credit Card Information:

First Name on Card*

Last Name on Card*

Card Type*

Card Number*

Card Verification Code*

Expiration Date*

Billing Address:

Address*

City*

State/Province*

ZIP Code*

PHONE Number*

World Kennel Club
Phone: (512) 772-2490
PO BOX 803,
Smithville, TX 78957

THE WORLD KENNEL CLUB® WANTS YOU TO BE PROUD OWNERS OF YOUR PURE-BRED REGISTERED DOG(S)!