Junior Handler Registration

Instructions

This form is for registering junior handlers under 18 years of age. A parent or legal guardian must provide their information and signature.

Junior Handler Name

Handler First Name*

Handler Last Name*

Date of Birth*

Handler must be under 18 years of age

Your Profile Information

Edit Profile

Member #: N/A

Name: Not provided

Email: Not provided

Phone: Not provided

Address: Not provided

I confirm the above information is correct and up to date.

Parent / Legal Guardian Name

Guardian First Name*

Guardian Last Name*

Guardian Phone Number

Guardian Email Address

Guardian Address

Parent / Guardian Signature

By signing, you confirm you are the parent or legal guardian of the junior handler and authorize their participation in ABKC events.

Parent / Guardian Signature*

Sign above

Junior Handler Registration Fee

Junior Handler Registration Fee$20.00

Combine shipment with other orders ($25.00)If you have applications from multiple forms, combine into a single shipment. Must be selected on all apps. 5 item max.I confirm the junior handler is under 18 years of age and I am their parent or legal guardian.

Fee Summary

Base Registration$20.00

Processing Fee$5.00

Admin Fee$2.00

Total$27.00

Incomplete applications will cause delays. If refunded, Processing & Admin Fee ($7.00) will be withheld.