Agility Dog Register

Fill in below form to apply for your own personalised agility number for each dog.

Email address: Required field
Primary Handler/Owner Name: Required field Last Name First Name
Primary Handler/Owner NZKC Number: Not Known:
Dogs full registered Name: Required field or pet name if its the same
Dogs Pet Name: Required field
Dogs DOB: Required field
Dogs Breed:
Dogs NZKC Number: (eg OB/6677) Not Known:
Dog Height:
Proof of height may be asked for.
Height in mm (do not put the mm)
Handler's Club: If not shown in drop down box
please choose other and enter in comments box
Additional Comments
What is this called?
By submitting this form, I confirm that the above details I have entered are true and correct.