Associate Membership

Peninsula Dog Fanciers' Club, Inc.

Associate Membership Application
Adopted March, 2023

Associate Membership is open to anyone over the age of 18 years of age.

It is a membership for those who do not wish to be involved in the club activities on a regular basis or governing positions or for those new to the club for the 6th month introductory period.

Associate members cannot vote or hold office and do not count in the determination of a quorum.

We do however, highly encourage Associate Members to participate in all discussions.
Associate Members may apply for "Full Membership" after a 6-month introductory period.
Dues: $11.00 (includes $1.00 online processing fee)
Name:*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone:*
Cell Phone:
Email:*
example@example.com
May we share your information with other club members?*

YesNo
What breed of dogs do you own?
Would you be interested in giving a presentation to the club on your breed?

YesNo
How many years have you been involved in the dog sport community?
Please list any other dog related organizations you are a member of (breed clubs etc.):
Please indicate any dog sports you are currently involved in:

ConformationObedienceRallyScentworkAgilityFlyballEarthdogLure CoursingBarn HuntUpDogField SportsFastCatTrackingFit DogOther
Would you be interested in being part of a Committee/Team?

YesNoNot at this time
If so, which Committee/Team(s) interest you:

MembershipBreed ShowSeminarsMediaCommunity OutreachHospitalityScentwork TrialEquipmentFit DogSunshinePerformance WeekendPublic EducationNominationConstitution/Bylaws/Standing Rules ReviewCommunity Service ProjectOther
One of the goals of our club is to provide our dog community activities that would be of interest to them. Is there anything you would like to see our club provide you or our local community?
Is there anything you would like to share with us? Special skills or experience?
It takes a huge amount of people to have a successful AKC Dog Club.
Peninsula Dog Fanciers' Club has been in existence for over 70 years.
We are excited that you are willing to join us to keep our local dog community going.
Club Agreement:*

I agree to abide by the Peninsula Dog Fanciers' Club and AKC Rules, Regulations, Policies and Guidelines.
Signature:*
(Typing your name in this box constitutes a signature)
Date*

MonthDayYear
Date
*
prevnext( X )
Associate Membership
$11.00 for each year
For Club Use:
Payment Method:

CashCheckOnline
Date Application Received:
Date Application read at meeting:
Date Approved
Copy sent to:

SecretaryTreasurerPresident
Membership Committee Chair Initials
Date
Should be Empty: