TGRC Online Membership Application

TGRC Online Membership Application

Membership Calendar Year July 1 thru June 30
Member Name*

First NameLast Name
E-mail*
Home Phone Number:

Area CodePhone Number
Cell Phone Number:

Area CodePhone Number
Member Occupation:
Because the number of regular members determines the size of the quorum necessary for conducting business at Club meetings, only people who expect to be active in the Club, attend meetings and participate in Club events, should maintain a regular membership (Individual/Household). Associate members are not counted for a quorum. Members may change their membership category at annual renewal time.
Please select membership application level:*
prevnext( X )
Individual Membership$30.00
Enjoys all club privileges including the right to vote and hold office. ACTIVE members should attend TWO club meetings AND participate in or volunteer for ONE event/seminar or club activity.

Household Membership$35.00
Two (2) adult members residing in the same household, each eligible to vote and hold office. EACH will be an ACTIVE member, attending TWO club meetings AND participate in or volunteer for ONE event/seminar or club activity.

Associate Membership$20.00
Entitled to all club privileges except voting and holding an office. Offered to those who live outside of the club's area or to those who cannot be active in the club but want to support it and its activities.

Junior Membership (No Dues)$ Free
Open to children 9-17 years of age. A non-voting/non-office holding membership which may automatically convert to regular membership at age 18.

Special/Honorary Membership (No Dues)$ Free
Holds no office and is not eligible to vote. By Invitation Only.

Total $0.00
Individual Membership Confirmation:*

I agree to be an ACTIVE member and will attend TWO general membership meetings and participate in or volunteer for ONE CLUB event/seminar or activity within the next fiscal year - July 1 to June 30.
Household Membership Confirmation:*

We both agree to EACH be ACTIVE members and will attend TWO general membership meetings and participate in or volunteer for ONE CLUB event/seminar or activity within the next fiscal year - July 1 to June 30.
For Household Membership Only
Household Member Name*

First NameLast Name
Household Member E-mail*
Household Member Phone Number

Area CodePhone Number
Household Member Occupation:
Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Breed(s) of Dogs Owned:*
Regarding breeding dogs, please select all that apply:*

Maintain a kennelBreed Golden RetrieversBreed other breedsI do not breed dogs
Kennel Name:
Website URL:
Other breeds:
Membership Classification (For AKC club approval purposes only) Check all that apply:*

Breeder (someone who has registered a litter within the past 3 years)Exhibitor (someone who has entered a dog at an AKC-licensed event within the past 2 years)AKC Licensed JudgeInterested Dog Owner (someone who is a dog owner of an AKC registered dog and active in the club)
Activities in which you currently participate with your dog, and/or those you'd like to in future: (check all that apply)

ConformationObedience/Rally TrialsAgilityWC/WCX TestDock DivingBarn HuntCoursing Type EventsTrackingScent WorkCGC TestCCA EvaluationOther
Titles achieved by your dogs:
GRCA Member?*

YesNo
Other Dog Club Memberships Held: (past or present)
Have you ever been denied membership in a dog-related club?*

YesNo
Please explain being denied membership in a dog-related club:
How did you learn about Tarheel Golden Retriever Club? *
What are your reasons for seeking membership? *
*Please Note:*

Your application will be shared with our club members for review upon receipt. If received more than ten days prior to the next general member meeting, your application will be voted upon at that meeting by secret ballot. Member meetings are scheduled and posted on our website. You will receive a welcome email letting you know details and timing. Thank You!

IF THIS APPLICATION IS ACCEPTED AFTER MARCH 1, NO DUES SHALL BE PAYABLE THE FOLLOWING FISCAL YEAR, WHICH RUNS JULY 1-JUNE 30.
Agreement:*

I/We hereby apply for Membership in the Tarheel Golden Retriever Club and agree, upon acceptance, to abide by the bylaws,ethics, rules, and regulations of the Tarheel Golden Retriever Club, the American Kennel Club, and the Golden Retriever Club of America. By signing this application, I/We confirm all information provided is accurate and true.
Member Signature:*

Clear
Household Member Signature:

Clear
Should be Empty:

TGRC Online Membership Application

For Household Membership Only