Club Membership Registration Form

DHRC Membership Application

Complete the form below for new or renewal membership.
Membership Type*

RenewalNew
Payment Type*

CashCheckPaypal - Use PayPal option on website.
ANNUAL CLUB DUES

$50 General Membership

Per Calendar Year
Name (Include Family Names)*

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number:*

Area CodePhone Number
E-mail*
My goals for joining DHRC:

Get help training my Hunting DogTitle my Dog at Hunt TestsMeet other Dog PeopleHelp others Train their DogsOther
How many Dogs do you own?
What Breed(s)?
The Club follows the By-laws and Rules and Regulations of HRC and UKC.

I agree to abide according to HRC and UKC rules. (By-laws available upon request)

The Dakota Hunting Retriever Club assumes NO responsibility for accidents during club events.
Signature

Clear
Should be Empty:

DHRC Membership Application