Club Membership Registration Form

Poodle Club of Okc, inc Membership Application
Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Occupation
Have you ever been excused from a dog organization?
If yes, please explain:
Are you in good standing with AKC?
Total of dogs you currently own:
Breeds
Number of males & females
Interests
If other, please explain:
Please give a brief explanation as to why you'd like to join Poodle Club of Okc, Inc & your history with Poodles:
What is your opinion on doodle breeding and merle Poodles?
Membership Type
If family, please list other family members:
Preferred way to contact
I hereby apply to be a member of the Poodle Club of Oklahoma City, Inc and certify that the above information is true and correct to the best of my knowledge. If accepted, I agree to abide by the rules and regulations of AKC and the Constitution and bylaws of the Poodle club of Oklahoma City, inc.
Signature
Once you submit your application, it will be reviewed at the next club meeting. You are welcome to join us for the meeting.

Thank you!
How did you hear about us?
Should be Empty:

Poodle Club of Okc, inc Membership Application