Flat-Coated Retriever Society of Canada

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New Membership Application

Today's Date(Required)
Name(Required)
Address(Required)
Do you have a current CKC Membership?(Required)
By checking this box, the applicant agrees to abide by the FCRSC Code of Ethics(Required)

Applicant 2 (for family memberships)

Name
By checking this box, the applicant agrees to abide by the FCRSC Code of Ethics

Sponsor's Information (sponsor must be a current club member in good standing)

Name(Required)

Breeder Information

Are you a breeder?(Required)
Are you planning a litter in the next 2 years?(Required)
Do you wish to be included on the FCRSC website breeder list?(Required)

New Membership Dues: Single – $40, Family – $50

Please check method of payment:(Required)

Please click on the button "Click to Submit Form" below. Once submitted, the screen will change with a message confirming submission.