Patriotic Puppy Program
American Kennel Club's Detection Dog Task Force

Question Title

1. Contact Information (Required.)

Name *

Company

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address *

Phone Number *

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2. Are you 18 years of age or older? (Required.)

Yes

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3. Kennel Name (if applicable)

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4. What is your dog's breed?

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5. Date of Whelp

Date

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6. Is your dog AKC registered?

Yes

Other (please specify)

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7. Are you a member of an AKC dog club?

Yes

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8. If so to what AKC club(s) do you belong?

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9. Do you breed more for: Performance, Conformation and/or attempt to find balance between Performance and Conformation?

Performance

Conformation

Both

Other (please specify)

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10. Are you actively participating in sporting dog events?

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11. Have you previously trained a dog for:

Canine Good Citizen

Retriever Hunt Tests

Pointing Dog Hunt Tests

Field Trials

Hunting

Scent Detection

Other (please specify)

Patriotic Puppy ProgramAmerican Kennel Club's Detection Dog Task Force

Question Title

* 1. Contact Information (Required.)

Question Title

* 2. Are you 18 years of age or older? (Required.)

Question Title

* 3. Kennel Name (if applicable)

Question Title

* 4. What is your dog's breed?

Question Title

* 5. Date of Whelp

Question Title

* 6. Is your dog AKC registered?

Question Title

* 7. Are you a member of an AKC dog club?﻿

Question Title

* 8. If so to what AKC club(s) do you belong?

Question Title

* 9. Do you breed more for: Performance, Conformation and/or attempt to find balance between Performance and Conformation?

Question Title

* 10. Are you actively participating in sporting dog events?

Question Title

* 11. Have you previously trained a dog for:

Question Title

* 12. Do you have any other information you would like to share?

Patriotic Puppy Program
American Kennel Club's Detection Dog Task Force

1. Contact Information (Required.)

2. Are you 18 years of age or older? (Required.)

3. Kennel Name (if applicable)

4. What is your dog's breed?

5. Date of Whelp

6. Is your dog AKC registered?

7. Are you a member of an AKC dog club?

8. If so to what AKC club(s) do you belong?

9. Do you breed more for: Performance, Conformation and/or attempt to find balance between Performance and Conformation?

10. Are you actively participating in sporting dog events?

11. Have you previously trained a dog for:

12. Do you have any other information you would like to share?