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Northeast Florida Toy Dog Club Application

Print and bring to a general membership meeting.

Please note: Club dues are $15.00 per person or$25.00 per family household per year and must accompany this application.  All applicants for membership must attend at least one general meeting of the Club as a visitor prior to the submission of an application for the first reading. A vote by the membership will be taken following the second reading of the application at which time applicant may not be present.

Date: _________________

I hereby apply for membership to the Northeast Florida Toy Dog Club, under the laws of the State of Florida, and agree to abide by its Charter, By-laws and the rules of the American Kennel Club, and to participate in the activities of the Club insofar as I am able.

               

                                                                                                      Signature

NAME IN FULL (Please Print):  

OCCUPATION: ____________________________BIRTH DATE (Month & Day Only)                    

ADDITIONAL FAMILY/HOUSEHOLD MEMBER NAME(S):          

OCCUPATION: ____________________________BIRTH DATE(S) (Month & Day Only)        

MAILING ADDRESS:        

CITY: __________________________ STATE: _______________ ZIP CODE:  

HOME PHONE: _______________________ WORK PHONE:

EMAIL ADDRESS:        

BREED(S):        

PRIMARY INTEREST: (please check all that apply:   CONFIRMATION (     )    OBEDIENCE (     )    AGILITY (     )

OTHER CLUBS YOU ARE ACTIVE IN:       

                             

WOULD LIKE TO VOLUNTEER FOR FOLLOWING:

_______ Officer

_______ Board of Directors

_______ Match/Show Chairman

                ______ Match/Show Committee

                                ______ Judge(s)

                                ______ Trophies

                                ______ Entries

                                ______ Publicity (flyers, etc.)

                                ______ Hospitality

______ Other: tell us what you like to do            

Suggestions:     

                             

Sponsors: __________________________________________        

Date of First Reading: _____________

Date of Second Reading: ___________

Approved: Yes: _______ No: _______

Member: American Kennel Club