SWOC Membership Application
SOUTHWEST OBEDIENCE CLUB OF LOS ANGELES, Inc. (SWOC)
Membership is for the year beginning February 1 and ending January 31. Membership makes you a voting member of the Southwest Obedience Club, (except that junior members under age 16 may not vote), allows you to train at the members' rate, places you on the club mailing list and on the club e-mail announcement list (unless you prefer not), provides you with a list of club members, use of the library, and brings you an invitation to special club functions. Cutoff date for renewals is February 1. New members may apply at any time and require sponsorship from two current members. Lifetime members may use this form to update information. Please contact Membership Director Cathy Crnkovich at justshanec@aol.com if you have any questions.
Club
Member Information
Name
*
First Name
Last Name
Occupation
*
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Home Phone Number
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Area Code
Phone Number
Other Phone Number
-
Area Code
Phone Number
Application for New or Renewal of Membership
*
New Membership
Renewal
Sponsor 1 Name
*
First Name
Last Name
Sponsor 2 Name
*
First Name
Last Name
Club announcements and the newsletter are sent by e-mail. Please indicate if you want to receive them.
*
Yes
No
Please list your dogs
*
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Volunteering
The success of club activities depends on member participation - and it's a fun and a great way to get to know people. Indicate below when and how you can help by pitching in.
Please check all that you can help with.
*
Annual AKC Approved OC/RC Obedience & Rally Match
Annual AKC Responsible Dog Ownership Day
Annual AKC Obedience & Rally Trials
Hospitality/food
Stewarding
Set-up/Break-down
Registration
Raffle
Trophies
CGC Testing
Anything
Do you have any professional or other special skills that you could contribute?
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Areas of interest
Indicate below your specific areas of interest.
Please check all activities in which you are interested.
Obedience
Rally
Pet Therapy
Tracking
Agility
Flyball
Field
Scent Work
Coursing
Herding
Please list any other dog clubs you belong to.
Have you ever been suspended from membership in the American Kennel Club or any other dog club?
*
Yes
No
If you have been suspended, please explain circumstances.
*
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Membership Application Information
Please select membership type
*
Individual ($25)
Family ($30)
Junior ($9)
Lifetime ($0)
Individual = $25, Family = $30, Junior = $9, Lifetime (if awarded by club) = $0
If you would like to make a donation to the club, please indicate amount below.
If you will you be attending SWOC's Annual Awards Banquet to be held on Saturday February 29th at 6 pm at Think Cafe in San Pedro at a charge of $35 per person, please indicate below the number of attendees for the Banquet. The Banquet costs will be added to your total below.
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Summary
Membership Fees
Donation Total
Banquet Total
Total Fees
Thank you for your interest. Our Membership Chair or Club Officer will reach out to you in a day or two.
Total of Membership Fees, Donations, and Awards Banquet costs. By clicking Submit at the bottom of this form, you will be taken to PayPal to complete payment.
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