Application
Fort Lauderdale Dog Club, Inc.
P O Box 15654
Plantation, Florida 33318
Email: fortlauderdaledogclub@yahoo.com
Application For Membership
DATE: _____________________
NAME: ______________________________________________ PHONE: ___________________________
ADDRESS: ___________________________________ CITY: _______________________ STATE: ______
ZIP: ________________ EMAIL ADDRESS: ___________________________________________________
BREED(S) OF INTEREST: _________________________________________________________________
I hereby make application for membership to the Fort Lauderdale Dog Club and, if accepted, agree to abide by the Rules and Regulations of said Club as expressly provided by it=s Constitution and By-Laws.
1. Are you now or have you ever been affiliated with any other dog club or clubs? Name(s) Location(s)
_______________________________________________________________________________________
2. Are you interested in: Breeding ____ Showing ____ Obedience ____ Other _____________________
3. How long have you been interested/ active in any of the above? ______________________________
4. Are you now or have you ever been an AKC Judge? _____ Professional Handler: ________________
5. As far as you know, are you in good standing with the AKC? _________________________________
6. Have you ever been suspended from any dog club or the AKC for any reason? No _____ Yes _____
7. If accepted as a member, you will be asked to serve on committees. Please indicate those on which you would be willing to serve:
____Advertising ____Membership ____General Publicity ____Show
____Trophy ____Hospitality ____Obedience ____Other
____Program ____Telephone ____No Preference
NOTE: Applications by husband and wife must be made on a separate form for each.
Annual Membership dues must be paid with the application.
If a member resigns owing the Club money, he/she cannot reapply for membership.
Applicant(s) must be at least 18 years of age.
Recommended by Member: ________________________________________________________________
My Signature: ___________________________________________________________________________
Approved by: ___________________________________________________________________________
Accepted: ____________ Rejected: _____________ Meeting Dates: ______________________
Signature of Club Secretary: _______________________________________________________________
Remarks: ________________________________________________________________________________
