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____________________________________
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