Club Membership Registration Form

Ocholckonee River Kennel Club of Florida, Inc. Membership Application

Application must be accompanied by payment for one year's dues payable below. To be considered for membership, each application shall agree to abide by the *ORKC's Constitution Constitution and Bylaws and by the rules and **Code of Sportsmanship of the American Kennel Club. Each New Membership application will be received by the Membership Chair and reviewed and approved by the Board of Directors.
Please select membership type:*

Single Membership ($25 per year)Family Membership ($35 per year)
Name*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number:*

Area CodePhone Number
Occupation*
Employer
Past Kennel Club Experience: Are you now, or have you in the past, been a member of another AKC all-breed and/or breed club? If yes, please the name of the club(s)and provide the dates of your membership and offices held if applicable.*
If NO, please type "No" above.
Have you ever been removed as a member of a dog club? If yes, please explain:*
If NO, please type "No" above.
Your dogs: How many dogs do you own and what breed(s) are they? Please include any conformation or performance titles your dogs have earned!*
Also share any titles you are trying to achieve.
Your interests (please check all that apply):*

AgilityBarn HuntBreedingConformationCorusingDock DivingField TrialsHerdingHunt TestsObedienceRallyScent WorkTherapyTrackingAKC Family Dog Activities (CGC, ATT, Farm Dog, etc.)
To which club activities are you willing to contribute your time and talent?*

Newsletter/Social MediaEducational ProgramsFun MatchesClub Outreach (Community Events)Show/ClusterCommitteeBreed ReferralMembershipProperty MaintenanceAgilityObedience & RallyScent WorkShow Handling
Why do you want to become a member of the Ocholckonee River Kennel Club?*
Where did you hear about us?

A Friend or colleaugeGoogleAKC websiteNews articleBreed clubOther
RELEASE OF LIABILITY FOR ORKC MEMBERS & NON-MEMBERS

I, First Name* Last Name* clearly acknowledge that I am voluntarily electing to engage in activities at the Ochlockonee River Kennel Club, Inc. (ORKC) property located at 226 Merritt Lane, Havana, FL 32333, with full knowledge that there are potential dangers, risks and hazards involved in working with and around dogs.

Thereby, I waive any and all potential claims and/or actions against ORKC by myself of any of my representatives. As such, I agree to release ORKC from liability for any and all injuries to myself, my dog or to any minor children in my charge caused directly or indirectly by engaging in activities at the ORKC clubhouse and grounds. I also agree to release ORKC from liability for any and all damage to my property cause directly or indirectly by engaging in activities at the ORKC clubhouse and grounds. I further indemnify and hold ORKC harmless from any damage, loss, liability or expense, including legal fees and attorney costs which result from any damage cause by myself, my dog(s), or by any minor children in my charge.

I agree to abide by the rules of ORKC when entering, using or leaving the ORKC clubhouse and grounds. Upon exiting the ORKC clubhouse and grounds, these rules include, but are not limited to properly storing equipment, cleaning up after myself and my dog(s), locking the gate and locking the clubhouse, if applicable. I also waive any claim or demand for the ORKC to indemnify me with regard to any damages or injury caused by my presence on ORKC properties or participation in ORKC activities.

All non-members must also sign this waiver upon entrance to the ORKC clubhouse and grounds. This includes guests of ORKC members and class/practice participants that are not members of ORKC.

ORKC members are responsible for ensuring their guests sign the waiver and class instructors or practice coordinators are responsible for ensuring their non-member participants sign this waiver.

Signature* Date* Email*
General Membership Meetings
Meetings are held at the Ochlockonee River Kennel Club clubhouse on the third Tuesday of each month at 7:00 PM. We look forward to meeting you at the next club meeting! In the meantime, if you have any questions please contact us https://www.orkc.com/contact

Thank you for your application!!
Once you submit your application, our membership chair will contact you. Thank you for your patience as we are all volunteers and much of our work is conducted during evening and weekend hours.
Reference Links:

*ORKC Charter and Bylaws
**AKC Code of Sportsmanship
Please select your membership type for payment:
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Single MembershipAnnual Single Membership Dues
$25.00

Family MembershipAnnual Family Membership Dues
$35.00

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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Ocholckonee River Kennel Club of Florida, Inc. Membership Application

General Membership Meetings