Flat-Coated Retriever Society of Canada

Membership Renewal Form

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

Applicant 2 (for family memberships)

Name
Do you have a current CKC membership?
By checking this box, applicant agrees to abide by the FCRSC Code of Ethics

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)

Membership Dues

Please check method of payment:(Required)