Club Membership Renewal Form

Ochlockonee River Kennel Club of Florida, Inc.

RENEWAL APPLICATION
ORKC memberships are yearly and due by JANUARY 1, 2026. ORKC bylaws state members who do not pay their dues by March 1st are considered delinquent and lose all club benefits including voting. New members who joined during the last quarter of the year don’t have to pay dues for the next calendar year, but they still need to complete this form.

There are three things we need from members annually: your dues, this renewal form and a Liability Waiver which is now part of the application process form.

Please complete the information below even if nothing has changed since last year, so we ensure our records and the directory are current.

Payment can be made electronically.

Sincerely,

The ORKC Board of Directors
Name*

First NameLast Name
Name-Family Member

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

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

Area CodePhone Number
Do you agree to have your name, address, email address and telephone number published in the ORKC Directory that is distributed to the members? Note: If you do not wish to be part of the directory, your email address will be used by the club for electronic distributions only.*
To which club activities are you willing to contribute your time and talent?*

NewsletterProgramsFun MatchesClub OutreachAnnual Show/ClusterBreed ReferralAgilityObedience/RallyConformation Handling ClassesEducationMembershipProperty Maintenance
Breed(s) of your dog(s) blanks .
Your kennel name: blanks .
Website address: blank .
Do you occasionally have:

Puppies availableAdult dogs availableStud service available
If you have stud service available, which breed(s) blanks .
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*
Please select your renewal membership type for payment:
prevnext( X )
Single MembershipAnnual Single Membership Dues
$25.00

Family MembershipAnnual Family Membership Dues
$35.00

Total

$0.00
Please verify that you are human*

Payment Methods

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Ochlockonee River Kennel Club of Florida, Inc.