Membership Application
To apply for membership please complete all questions.
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name
*
First Name
Middle Name
Last Name
Address
*
City
*
State
*
Zip Code
*
Occupation
Breed/s of dog/s you currently own.
E-mail
*
example@example.com
Work Number
Format: (000) 000-0000.
Cellular Number
Format: (000) 000-0000.
For the membership roster, please check all that apply:
Breeder
Exhibitor
Information on your Breed
Rescue
Pet Owner
Have you ever been a member of a Dog Club?
Yes
No
Name and Location of Dog Clubs
Have you ever had experience as a:
Judge
Trainer
Handler
Steward
No
If yes, where?
What type of activities or committees would you be interested in participating in? (Check all that apply)
Show
Website or Facebook
Conformation Class
Obedience Class
Membership Programs
Pet Therapy
Newsletter
Other
If other, please list.
Select Annual Membership Type
Individual $20.00
Family/Household $25.00
Sponsored by
First Name
Last Name
I certify
that I will abide by the By-Laws, rules and decisions of the Greater Naples Dog Club, Inc.and will hold harmless the Club and all persons connected therewith, in any capacity whatsoever,from any and all liability, cost and expense for any injury or damage to persons or property causedby any dog brought by me to any event held or sponsored by this Club. I understand that I musthave two (2) readings before I am considered a member. In addition, I understand that as anActive Member of the Club, entitled to all club benefits, I will be expected to attend at least three(3) general membership meetings a year and participate in two (2) activities per year.
Signature
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