Natural State Golden Retriever Club Membership Application

Natural State Golden Retriever Club Membership Application

We want our members to be active and striving to better the Golden Retriever Breed. We require the following for membership: Compliance with the GRCA code of ethics. Yearly membership dues to be up to date. We require the following for membership applications to be considered: Attendance of two (2) meetings (Zoom is available) or events 2 Endorsers that are club members in good standing New Applicants: Please allow 60 days for processing and approval once you have met the criteria. You will get emails at each step of the process.
Name*

PrefixFirst NameLast Name
Additional Applicant's Full Name (if family membership, otherwise skip.)*

PrefixFirst NameLast Name
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Physical Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Occupation
Breed of dog(s) you own.*
Membership Classification*

Breeder (someone who has registered a litter within the past three years.)Exhibitor (someone who has handled a dog at an AKC licensed event within the past two years.)Interested Dog Owner
Please list the types of competitions you participate in (if any):
Do you maintain a kennel?*

Yes, personalYes, professionalNo
If you maintain a kennel, what is the name and website?
Are you a GRCA Member? We encourage ALL members to support our National Club in GRCA membership.*

YesNo
To be eligible for NSGRC membership, we require applicants to have attended two events. Please let us know two events you have attended. If you have not met this requirement, we warmly welcome you to our club events and/or meetings. We look forward to meeting you! For opportunities, check out our club calendar at https://www.naturalstategrc.org/calendar*
Other dog club memberships held:
Activities you do/ will participate in with your dog (check all that apply):

CompanionTrackingAgilityDock DivingObedienceTherapyScent WorkLure Coursing/Fast CATRally ObedienceConformationWC/WCXRescueHunt TestsCCACGCFit DogFetch
Please indicate the events you will be a committee member or chairperson for.

FundraisingPicnicNewsletterSpecialtyEducational SeminarsHospitalityPet OwnershipMatchesPublic AwarenessProgramsScent Work EventsFast CATOther Interests
My Products
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Individual Membership
Enjoys all Club Privileges including the right to vote and hold office.

$25.00



Family Membership
Two (2) adult members residing in the same household, each eligible to vote and hold office.

$30.00



Associate Membership
Entitled to all club privileges except voting and holding office- offered to individual who live outside of the club’s area or in the club area and not active.

$20.00 Quantity



Junior Membership
(Open to children 9-17 years of age for a non-voting/non-office holding membership which mayconvert to regular membership with dues at the age of 18

$ Free



Total

$0.00

Payment Methods

Debit or Credit Card

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

Please indicate any special skills you would be willing to share with the Club.

ComputerPhotographyWritingEducationVideo ProductionTrainingGraphics
Before applications are submitted to the membership for consideration, they must be endorsed by two (2) Natural State Golden Retriever Club members in good standing. If you are not acquainted with any of our members, you are cordially invited to attend any club function to get to know us. Please list two members who have agreed to endorse you.*
List titles achieved by your dogs. (This is not a requirement to be a member!)
We want our members to be active and striving to better the Golden Retriever Breed. Our Club requires:

1) Compliance with the GRCA code of ethics 2) Attendance of two (2) meetings each year (Zoom is available)
I/We hereby apply for Membership of the Natural State Golden Retriever Club and agree, upon acceptance, to abide by the ByLaws, Ethics, and Regulations of the Club, the American Kennel Club, and the Golden Retriever of America. I do further attest that all of the information I have provided is true and correct. I further provide my permission to include my contact information in the Natural State Golden Retriever Club membership list that is distributed to Club Members only. I agree to indemnify and hold harmless the Natural State Golden Retriever Club, its Board of Directors, and Members from any liability, claims, and expenses, including attorney fees, that arise as a result from my participation in volunteer events offered through this organization. I am aware that by participating in programs, meetings, and club events that I assume responsibility for myself and my physical safety. I also consent to being contacted through email for Club correspondence.
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Natural State Golden Retriever Club Membership Application

We want our members to be active and striving to better the Golden Retriever Breed. Our Club requires: