Professional Profile Registration

Professional Profile

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	Professional Profile Registration
	Please fill out the form and then click the REGISTER button below. *All your information can be changed later. Indicates a required field.
	Please complete the following:
	I am a Professional: (Check all that apply. Only the highest selected fee will apply)	Bather - $15.00 Groomer - $25.00 Stylist - $35.00 Practical Skills Instructor - $55.00


	Registration Information
	First Name:
	Middle Name:
	Last Name:

	Address:
	City:
	State:
	Postal/Zip Code:
	Country:

	Phone:

	EMail Address:
	Confirm EMail:

	Password:
	Confirm Password:

	Company Information
	Salon Type:
	Company Name:
	Street
	City
	State
	Postal/Zip Code
	Country

	Company Phone
	Company Fax

	Company Email
	Company Website

	Location Type:






	Professional Groomer & Stylist
	Grooming and Styling (year started):
	Select how you received your education in the art of bathing, grooming and styling:

	List your 5 most prestigious awards or achievements as a professional mastering in the art of bathing, grooming and styling:
	Year
	Award


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	Professional Grooming Contest Competitor
	Grooming Contest Competitor (year started):

	List your 5 most prestigious awards or achievements as a grooming & styling contest competitor:
	Year
	Show
	Award


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	Professional Bathing, Grooming & Styling Contest Judge
	Grooming Contest Judge (year started):

	List your 5 most prestigious awards or achievements as a grooming contest judge:
	Year
	Award


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	Check the classes you have judged:	All Other Purebreeds Clippered Creative Free Style Handstripping Mixed Breeds Poodles Scissored Sporting Terriers
	Others:

	Check the levels you have judged:	Level 1 - Novice Level 2 - Intermediate Level 3 - Expert Level 4 - Invitational /Winners Circle


	Professional Conformation Handler/Exhibitor
	Confoirmation Handler/Exhibitor (year started):

	List your 5 most prestigious awards or achievements as a professional handler or exhibitor:
	Year
	Show
	Award


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	Professional Conformation Show Judge
	Conformation Show Judge (year started):

	List your 5 most prestigious awards or achievements as a professional show judge:
	Year
	Award


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	Check the AKC groups you are certified to judge:	Sporting Hound Working Terrier Toy Non-Sporting Herding Miscellaneous

	Check the FCI groups you are certified to judge:	Group 1- Section 1- Sheepdog Group 1- Section 2- Cattle Dog except Swiss Cattle Dog Group 2- Section 1- Pinscher; Schnauzer Group 2- Section 2- Molossoid Breeds Group 2- Section 3- Swiss Mountain Cattle Dogs Group 2- Section 4- Other Breeds Group 3- Section 1- Large & Medium Sized Terriers Group 3- Section 2- Small Sized Terriers Group 3- Section 3- Bull Type Terriers Group 3- Section 4- Toy Terriers Group 4- Section 1- Dachshunds Group 5- Section 1- Nordic Sledge Dogs Group 5- Section 2- Nordic Hunting Dogs Group 5- Section 3- Nordic Watch Dogs & Herding Dogs Group 5- Section 4- European Spitz Group 5- Section 5- Asian Spitz & Related Breeds Group 5- Section 6- Primitive Type Group 5- Section 7- Primitive Type Hunting Dogs Group 6- Section 1- Scent Hounds Group 6- Section 2- Leash (Scent) Hounds Group 6- Section 3- Related Breeds Group 7- Section 1- Continental Pointing Dogs Group 7- Section 2- British & Irish Pointers & Setters Group 8- Section 1- Retrievers Group 8- Section 2- Flushing Dogs Group 8- Section 3- Water Dogs Group 9- Section 1- Bichons & Related Breeds Group 9- Section 2- Poodle Group 9- Section 3- Small Belgian Dogs Group 9- Section 4- Hairless Dogs Group 9- Section 5- Tibetan Breeds Group 9- Section 6- Chihuahuan O Group 9- Section 7- English Toy Spaniels Group 9- Section 8- Japanese Chin & Pekingese Group 9- Section 9- Continental Toy Spaniels Group 9- Section 10- Kromfohrlander Group 9- Section 11- Small Molossian Type Dogs Group 10- Section 1- Long Haired or Fringed Sight Hounds Group 10- Section 2- Rough Haired Sight Hounds Group 10- Section 3- Short Haired Sight Hounds

	Check the Kennel Club groups you are certified to judge:	Hound Working Terrier Gundog Pastoral Utility Not Recognized Toy


	Breed Specialist
	Check the breeds you specialize in:	Affenpinscher Afghan Hound Airedale Terrier Akita Alaskan Malamute American English Coonhound American Eskimo Dog American Foxhound American Staffordshire Terrier American Water Spaniel Anatolian Shepherd Australian Cattle Dog Australian Shepherd Australian Terrier Azawakh Basenji Basset Hound Beagle Bearded Collie Beauceron Bedlington Terrier Belgian Laekenois Belgian Malinois Belgian Sheepdog Belgian Tervuren Bergamasco Bernese Mountain Dog Bichon Frise Black Russian Terrier Black & Tan Coonhound Bloodhound Bluetick Coonhound Boerboel Border Collie Border Terrier Borzoi Boston Terrier Bouvier des Flandres Boxer Boykin Spaniel Briard Brittany Brussels Griffon, Rough Bull Terrier Bulldog Bullmastiff Cairn Terrier Canaan Dog Cane Corso Cardigan Welsh Corgi Cavalier King Charles Spaniel Cesky Terrier Chesapeake Bay Retriever Chinese Crested, Hairless Chinook Chow Chow, Rough Chow Chow, Smooth Clumber Spaniel Cocker Spaniel Collie, Rough Curly-Coated Retriever Dalmatian Dandie Dinmont Terrier Danish-Swedish Farmdog Doberman Pinscher Dogo Argentino Dogue de Bordeaux English Cocker Spaniel English Foxhound English Setter English Springer Spaniel English Toy Spaniel Entlebucher Mountain Dog Field Spaniel Finnish Lapphund Finnish Spitz Flat-Coated Retriever French Bulldog German Pinscher German Shepherd Dog German Shorthaired Pointer German Wirehaired Pointer Giant Schnauzer Glen of Imaal Terrier Golden Retriever Gordon Setter Great Dane Great Pyrenees Greater Swiss Mountain Dog Greyhound Harrier Havanese Ibizan Hound, Wirehaired Icelandic Sheepdog, Long-haired Icelandic Sheepdog, Short-haired Irish Red and White Setter Irish Setter Irish Terrier Irish Water Spaniel Irish Wolfhound Italian Greyhound Japanese Chin Keeshond Kerry Blue Terrier Komondor Kuvasz Labrador Retriever Lakeland Terrier Leonberger Lhasa Apso Lowchen Maltese Manchester Terrier, Standard Manchester Terrier, Toy Mastiff Miniature Bull Terrier Miniature Pinscher Miniature Schnauzer Neapolitan Mastiff Newfoundland Norfolk Terrier Norwegian Buhund Norwegian Elkhound Norwegian Lundehund Norwich Terrier Nova Scotia Duck Tolling Retriever Old English Sheepdog Otterhound Papillon Parson Russell Terrier Pekingese Pembroke Welsh Corgi Peruvian Inca Orchid, Coated Peruvian Inca Orchid, Hairless Petit Basset Griffon Vendeen Pharaoh Hound Plott Hound Pointer Polish Lowland Sheep Dog Pomeranian Poodle, Miniature Poodle, Standard Poodle, Toy Portuguese Podengo Pequeno, Smooth Portuguese Podengo Pequeno, Wire coat Portuguese Water Dog, Curly Pug Puli Pumi Pyrenean Shepherd Rat Terrier Redbone Coonhound Rhodesian Ridgeback Rottweiler Russel Terrier, Broken Coated Russell Terrier, Smooth Russell Terrier, Wire-coated Saint Bernard Saluki Samoyed Schipperke Scottish Deerhound Scottish Terrier Sealyham Terrier Shetland Sheepdog Shiba Inu Shih Tzu Siberian Husky Silky Terrier Skye Terrier Sloughi Smooth Fox Terrier Soft Coated Wheaten Terrier Spinone Italiano Staffordshire Bull Terrier Standard Schnauzer Sussex Spaniel Swedish Vallhund Tibetan Mastiff (DO-KHYI) Tibetan Spaniel Tibetan Terrier Toy Fox Terrier Treeing Walker Coonhound Vizsla Weimaraner Welsh Springer Spaniel Welsh Terrier West Highland White Terrier Whippet Wire Fox Terrier Wiredhaired Vizsla Wirehaired Pointing Griffon Xoloitzcuintli, Coated Xoloitzcuintli, Hairless Yorkshire Terrier
	Other:

	Please submit a 200 word bio for show brochures and advertisements:

	My Twitter link:
	My Facebook link:
	My LinkedIn link:








	Please provide a portrait photo for show brochures and also several photos of you judging, showing or competing:










	Please Read:	I certify that by submitting this online application, that all information that I have supplied in this application is true in form and content.




	Signature:	. By clicking this checkbox, you consent to the terms and conditions above and our internet usage terms and conditions.

		Coupon Code: All registrations are logged.