Forms and Documents

Mailing address for forms:
CKCSC,USA
2301 E. Emory Road
Knoxville, Tennessee 37938
phone: 865-688-2484
fax: 865-219-0363

The Code of Ethics obliges all members resident in the USA to register every eligible Cavalier they own/co-own or breed with the CKCSC-USA. If your Cavalier is not eligible for registration with the CKCSC-USA, please use the Performance Event Number form to register your Cavalier. If you are a new or returning Member, please see the Member Welcome Policy and Special Fees.

Acceptability of Paperwork Submitted by Means Other Than Hardcopy
Document copies, images and computer files sent to CKCSC Registration must print out at the full size of the original document. They cannot be linearly distorted or blurred. They must have normal contrast. Documents when printed must look as they would if made on a regular flatbed copier or sent via good quality fax. Many pictures made with smartphones cannot be accepted due to quality.

Please feel free to call the Registration Office at 865-688-2484 with any questions or email at CKCSCRegistration@comcast.net.

 

 

Membership

New Member Application Supplemental List of Dogs Not Registered with the CKCSC-USA
Use the New/Returning Member One-Time Registration Fees from the Fee Schedule (as of 9/28/2023)
More Information & Download ...

CKCSC New Membership Form - 2025
This form is to be used to become a CKCSC member. Please make sure that you have read and understand the CKCSC Code of Ethics before becoming a member.
www.ckcsc.org/membership-applications

CKCSC Membership Renewal Form - 2025
This form is to be used to renew your CKCSC membership. Please make sure that you have read and understand the CKCSC Code of Ethics.
www.ckcsc.org/membership-applications

 

Registration

Forms are listed in alphabetical order and include a brief description of their purpose.   
For a complete checklist of required and optional forms for each registration transaction, download the Registration Transaction Document Checklist

Click the title of each form you want to use.

Addition of Registered Affix to Registered Name of Dog
Use to add the CKCSC-registered affix of a Regular member in good standing to the end of the CKCSC registered name of the dog.

Performance Event Number (PEN)
Use to register a Cavalier in the CKCSC, USA, Performance Event Registry who is ineligible for registration with the CKCSC, USA, Registry.

A Performance Event Number (PEN number) is not the equivalent of a CKCSC registration number. It is intended to allow Cavaliers not eligible for registration with the CKCSC to participate in CKCSC approved events, such as Matches, Junion Showmanship, Obedience Trials, Agility Events or other performance events. Under no circumstances may a Cavalier with a PEN number be entered in Conformation competition at a CKCSC Championship show and is not to be used for breeding. If a Cavalier with a PEN number is used for breeding, the offspring will be ineligible for registration with the CKCSC.

Register a Litter
Use to register a litter with a single sire where the sire and dam are not in the same ownership.

Register a Litter - Express
Use to register a litter with a single sire where the sire and dam are in the exact same ownership.

Register a Multiple-Sire Litter
Use to register a litter with two or more sires.

Register an Affix
Use to register an affix (kennel name).

Register an Individual Dog From Registries Recognized by the CKCSC, USA
Use to register a dog born outside the USA or a dog born in the USA not bred by a CKCSC, USA, Member and registered with the American Kennel Club.  

Revocation of Restriction
Use to revoke a restriction from breeding or showing imposed by a breeder or former owner.  This form must be received by the registration office PRIOR to any breeding taking place.  Only the person who imposed a restriction upon a dog may revoke that restriction and no fee is required. 

Do not use this form to request a restriction imposed by the CKCSC, USA, Board of Directors.  Contact the Registration Office for instructions.  Board imposed restrictions must be revoked prior to any breeding taking place and there is a fee to revoke a Board imposed restriction.

Stud Service Certificate
Use to attest to the mating of the sire and the dam.

Supplemental Litter Registration Breeder Information
Use to provide breeder information when the owner of the dam at whelping was NOT the owner of the dam at the time of mating.

Supplemental Signatures Form
Use when the dog has or will have more than two (2) owners of record in the CKCSC.  

The CKCSC, USA allows a maximum of FOUR (4) owners of any dog or bitch. All owners must sign all forms submitted to the CKCSC, USA Registration Office. Since such forms allow space for only TWO (2) signatures, any form regarding a dog or bitch owned by more than TWO (2) people must be accompanied by a completed and signed Supplemental Signature Form with the box for the appropriate accompanying form checked.

Transfer of Affix
Use to transfer the ownership of an affix registered CKCSC, USA, to a Regular Member in good standing.  Please read the CKCSC, USA guidelines for registering an affix to ensure your eligibility. Submission of this application does not guarantee the transfer of a Registered Affix. All Registered Affixes must follow CKCSC Policies and Procedures. Rev 2011.

Transfer of Dog
Use to transfer a dog.  Same form is used for a restricted or unrestricted transfers.

 

Health Registry Application
The Anne Shapiro Memorial Health Registry is open to all purebred Cavaliers registered with any registry recognized by the CKCSC,USA. It is our hope that this free service will help promote longer lived and healthier dogs by making health records openly available. It is important for the future of our breed to have participation by all owners, breeders and pet owners alike. Application updated 04/2007
More Information & Download....

Showing

Class Winners Points Form
Class Winners Points Form for both Dogs and Bitches for official CKCSC USA show records
More Information & Download....

Supplemental Entry Form for Dogs Showing on Foreign Registry Number
Supplemental Entry Form for Dogs Showing on Foreign Registry Number updated 2009
More Information & Download....

Performance Harness Request Form
This form is used to request permission from the CKCSC-USA for use of a harness instead of a collar in an obedience event or rally event.
More Information & Download....

Award of Merit Points Form
Award of Merit points form for official CKCSC USA show records 03/01/18
More Information & Download....

Major Winners Points Form
Major winners points form for official CKCSC USA show records 03/01/18
More Information & Download....

Heritage Information
Learn more about the Heritage program and download the form.
More Information & Download....

Cavalier Health Foundation

Health Foundation / Grant Proposal
The CKCSC, USA. Health Foundation, also designated as the Cavalier Health Foundation or CHF is a not-for-profit corporation. Use This form for a request of a grant proposal only.
More Information & Download....

Cavalier Health Foundation Membership Application form
The official Cavalier Health Foundation membership form. This can be used for new and existing members
More Information & Download....

 

Miscellaneous Forms

PEN Application
Application for Performance Event Number Rev 2011
More Information & Download....

Therapy Companion Registration Form v 2016

To be entitled to the Cavalier Therapy Companion title, a Cavalier must be registered with one of the therapy dog organizations also recognized by the American Kennel Club recognized therapy program.

https://www.akc.org/sports/title-recognition-program/therapy-dog-program/therapy-dog-organizations/

As a registered therapy dog an owner is showing liable responsibility of the dog.

Therapy work is consisted of visitation to nursing homes, hospitals, schools or other human groups where a dog is performing mental and physical comfort therapy to humans.

A CKCSC, USA Therapy Companion Registration form must be filled out for each visit of therapy work per dog.  When a dog has performed the required hours, the owner will receive a certificate of the title earned.  These are lifetime achievement titles and should be added to a cavalier’s registered name as a suffix title.

Therapy work consists of visitation to nursing homes, hospitals, schools or other human groups where a dog is performing mental and physical comfort therapy to humans.

For more information please contact;
Sabine Gregory:  sgregory5@verizon.net

Trick Dog Application Trick Checklist
Trick Dog Evaluation Form

2024 Yearbook Advertising Form (click here)
The 2024 CKCSC, USA Yearbook is in the works!
It is time to start sending in your yearbook entries for the next great publication.

The Yearbook is about YOU.
The Yearbook is for YOU.
The Yearbook is for all of us to enjoy the heart and the beauty of this wonderful breed.

The CKCSC, USA Yearbook is for all of us to enjoy the heart and the beauty of this wonderful breed.

 

To receive EARLY BIRD PRICING ads must be submitted with ALL text and photos by June 28, 2024.

Final deadline for yearbook submission at regular pricing is August 1, 2024.

 

And don't forget that the price of your ad INCLUDES the professional design of your ad.

 

Any questions please don't hesitate to ask.

Barb Hoorman

CKCSC, USA Yearbook Editor 1991-present

BMark9@aol.com

 

General
Puppy & Adult Referral

Please  use this form to submit any puppy or adult referral listings for posting on the CKCSC - USA website. Once completed please submit this form to

Linda Kornhi
cavlady@mindspring.com


This service is for current Club members in good standing who have registered a litter within the last two (2) years. The membership must remain current for the duration of the posting. If you are posting a litter after October 31, you must renew your membership before submitting the posting request. Click here to renew your membership.