Platte Valley Kennel Club Membership Application

Membership Application

Platte Valley Kennel Club of Fremont, NE
Club Membership Process:

Your application for membership will be reviewed by the club. We ask that you obtain two people to sign as sponsors for you and that at least one of these MUST be a member of the Platte Valley Kennel Club. We look forward to meeting you. Family Fee: $15 Individual Fee: $10 Jr. Fee: $5
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number*
Please enter a valid phone number.
Please list the dog breeds of interest to you:
Please list the dog clubs are (or were) a member.
Please select (all) the activities that best describe your interests:

Breeder– any person who has bred and registered a litter within the previous three years.Exhibitor – any person who has exhibited at AKC licensed shows within the previous two years.Dog Owner- any person who owns one or more AKC registereddogs, but who is not a breeder or exhibitor.Dog Fancier – any person who owns one or more AKC registered dogs, who is interested in the sport of showing dogs or is simply interested in the welfare of the dog breeds.Dog Enthusiast - any person interested in dogs, dog shows and dog sports and is willing to help.
Briefly describe your experience in dog showing, dog sports or dog breeding:
Please list your experience any dog club offices or positions:
Please select your area of interest

Show Chair/Trial ChairRing StewardShow/Trial CommitteePublicityEduction/SeminarsCatalog Sales/Auction/Fund RaisingClub Officer / Board MemberShowing/Exhibiting/Competiting
Please select one club member as your sponsor.*
Please select a second sponsor. If they are not a club member, please have them sign a short note and mail to Mateel Smith, 5016 Wright Way, Blair, NE 68008 or have them email Mateel at xcel1@cox.net.*
Should be Empty:

Membership Application

Club Membership Process: