Patch Program Request
Instructions: Thank you for your interest in hosting the Patch Program! Please include as much information as possible to help us create your custom Patch Program materials. Once this form has been reviewed, we will contact you with additional information on how to run the program at your event along with guidance on ordering patches. Please note the cost of each patch is $1. *To ensure all materials arrive on time, please complete this form at least 6 weeks prior to your event*
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Please share the address where you would like the patches delivered.
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Club Name
*
Event Name
*
Date
*
-
Month
-
Day
Year
*Your event should be no less than 6 weeks away*
Are you hosting the Patch Program through the AKC Booth? *If hosting through the booth, you will not need to order patches.
*
Yes
No
Select the age range(s) of Patch Program participants:
*
Ages 7-10
Ages 11+
Select up to 6-7 events from your show to be included in the Patch Program.
*
AKC Rally
AKC Scent Work
Agility
Beginner Puppy
Canine Good Citizen
Conformation
Dock Diving
Fast CAT
Grooming Tables
Junior Showmanship
Meet the Breeds
Obedience
Trick Dog
How many children are expected to participate in the Patch Program?
*
By signing below, I confirm that I would like to purchase patches for the number of participants listed above. *Disregard if hosting through the AKC booth*
Please list any questions you would like us to answer.
Submit
Should be Empty: