The Holland Michigan Kennel Club



[pic] The Holland Michigan Kennel Club

Individual Membership Application

The Holland Michigan Kennel Club (HMKC) was founded in 1974 by a small group of dedicated purebred dog fanciers interested in establishing an AKC All Breed Kennel Club in the greater Holland area. The HMKC is a voluntary organization whose continued success relies on the hard work and dedication of its members. Members must work at a minimum of one function per year to remain in good standing.

Please submit dues with your application.

Amount $_______ Check_______ Cash_______ Date_______

Dates Read: Board_______ 1st_______ 2nd_______ 3rd_______

Membership Type_________ Accepted or Denied________ Date____

Name______________________________________________

Home Phone_________________ Cell_________________

E-mail_____________________________________________

Address____________________________________________

City_____________________ State_____ Zip code________

Occupation_________________________________________

Work Phone________________ May we call you at work?___

Reasons for wanting to become a member of HMKC: _________

What are your interests in dogs? Companionship_________

Exhibiting________ Obedience_______ Breeding______

Handling________ Judging_______ Social_______

Agility_______ Field Trials_______ Rally_______

Other?_____________________________________________

Do you offer dog services or sell dog-related items such as food or show supplies? If so, please list:

Dog breed(s) owned:_________________________________

How many dogs do you own?___________________________

Do you breed your dogs?_____ How many litters per year?___

Are you a member of any other dog-related clubs? If so, please list:_______________________________________________

Have you ever held a position or served on a committee within the above dog club(s)?________________________________

Have you reviewed the Holland Kennel Club’s code of ethics?__

Do you agree to abide by and uphold the Code of Ethics established by the HMKC for its members?__________

Have you ever been suspended by the AKC or any other comparable kennel club?_________

How did you find out about the HMKC?____________________

Names and address of persons with whom you are acquainted with who might be contacted for additional references or information:

1. ______________________________________________

phone_____________________________________________

2. ______________________________________________

phone_____________________________________________

3. ______________________________________________

phone_____________________________________________

I hereby certify that the foregoing statements are true and correct and give my permission to the Holland Michigan Kennel Club to contact persons for additional information as necessary. I have read and agree to abide by the Constitution and By-Laws of the HMKC and the rules and regulations of the American Kennel Club.

Signed:____________________________________________

Date:______________________________________________

HMKC Sponsor #1____________________________________

HMKC Sponsor #2____________________________________

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download