Individual Dog Registration

ASCA ONLY Individual Dog Registration Application

Please completely fill out and ensure all owners, co owner, kennel owners, and litter owners signatures have been obtained on your Individual Dog Registration Application. Once completed, upload and pay below.

**Please Read**
Do not put the credit card number on the application, you will pay below via website form. If already filled out, please mark out credit card information for your security. 

"*" indicates required fields

Contact Info*
Member Status*
When renewing your membership, if you change the membership type you will receive a new membership number. For example, dual to single or single to service.
If Renewing Membership:
Max. file size: 256 MB.
Max. file size: 256 MB.
Membership Fee:
Dog Registration Fees*
Please select price according to age of dog and membership status.
Extended Name
Pedigree (5 Generation)
Credit Card*
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date