2020 Club Membership Renewal Form

2020/2021 TGRC Online Membership Renewal

Membership Calendar Year July 1 thru June 30 - Renewal Deadline June 30
Membership Levels and Fees

Individual $30.00 - Enjoys all club priviledges including the right to vote and hold office.

Household $35.00 - Two (2) adult members residing in the same household, each eligible to vote and hold office.

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

Special/Honorary (No Dues) - Holds no office and is not elegible to vote. By Invitation Only.
My contact information has changed in the past 12 months
Member Name *

First Name Last Name
Household Member Name (for Household Membership Only)

First Name Last Name
E-mail *
Household Member E-mail (for Household Membership Only)
Home Phone Number:

Area Code Phone Number
Cell Phone Number:

Area Code Phone Number
Household Member Cell Phone Number (for Household Membership Only)

Area Code Phone Number
Address:

Street Address

Street Address Line 2

City State

Zip Code
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 Judge Interested Dog Owner (someone who is a dog owner of an AKC registered dog and active in the club)
Volunteer Opportunities. Please check all that apply where you might be interested in volunteering during the coming year. This will allow committee chairs to know who to contact when help is needed. Thank you!

Conformation Specialty Obedience/Rally Trials Agility WC/WCX Test Dock Diving Barn Hunt Coursing Type Events Tracking Scent Work CGC Test CCA Evaluation Ring Stewarding Hospitality Fundraising Web Support Clinic/Workshop/Seminar Planning Newsletter Board Position Social Events
Renewal Payment - PayPal/Credit Card - Once you submit this form you will be directed to a PayPal page for payment. Having a PayPal account is not necessary. (check one) *
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Individual Membership $ 30.00

Household Membeship $ 35.00

Associate Membership $ 20.00

Junior Membership Free

Special/Honorary Membership Free
Breeder Referral List (choose one)

I would like to be added to the Breeder Referral List. Please complete the BREEDER REFERRAL LIST application BEFORE making your renewal payment. I would NOT like to be added to the Breeder Referral List. Please scroll down to make your renewal payment.
Breeder Referral Application

Please complete to be listed on the Breeder Referral page on our website
The Breeder Referral application must be submitted annually in order to be listed on the club website.

Per the club policy adopted in 2012, a breeder listing on the Tarheel Golden Retriever Club website is a privilege not a right of membership and those on the list are expected to educate the public about the breed, keeping in mind that they and their dogs represent the breed, the Tarheel Golden Retriever Club and the sport of purebred dogs in general.

To be listed on the Tarheel Golden Retriever Club Breeder list, a member must be active in the club. Active membership is defined as:
- a member in good standing within the TGRC, as defined by the bylaws
- has renewed membership at least one time
- has attended a minimum of two club meetings in the past year (Jan-Dec)
- has participated in at least one club event/activity and/or served on a club committee or Board of Directors
Member Name

First Name Last Name
Address

City State
Email
example@example.com
Phone Number

Area Code Phone Number
Dates of Meetings Attended
Club Event/Activity, Club Committee &/or Board of Directors
Breeder Information

Kennel Name

Website
*

I/We hereby renew my/our Membership in the Tarheel Golden Retriever Club and agree to continue 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. As a breeder, I agree to abide by and follow the Tarheel GRC bylaws, the GRCA Code of Ethics, and maintain good standing with the AKC and GRCA. I also agree to educate the public about the breed and to represent the club, Golden Retrievers, as well the sport of purebred dogs.
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2020/2021 TGRC Online Membership Renewal

Breeder Referral Application