This application to be completed by the Adult (18 years of age or older) applying for membership.
Name __________________________________________ Date _________________________ Address _________________________________________ Phone _______________________
City ______________________________ State ____________ Zip ________________
Occupation ___________________________________ E-Mail __________________________
Are you, or have you ever been a member of other dog clubs _______ Please list on back.
What breed(s) of dogs are you interested in?__________________________________
Are you interested in : Conformation ____ Obedience/Rally ____ Field Events _______
I have _______ dogs. I breed ______ litters in a three year period.
Are your dogs eligible for AKC registration? ____ Do you sell puppies to pet stores? ____
Average number of AKC dog shows entered per year: ___________
Breeds you exhibit: _____________________________________________________
Why do you want to become a member of Sahuaro State Kennel Club? (can use back) ___________________________________________________________________
We want you to be part of our activities. Please indicate where you are willing to participate. Match Committee ______ Show Committee ________ Board Member _________
Other (please list) ___________________________________________________
From the SSKC Bylaws: "The object and purpose of this club is to promote interest throughout the State of Arizona in the proper breeding, feeding, care, training, and showing of purebred dogs of all breeds recognized by the American Kennel Club."
Would you, if accepted as a member, do your best to develop the quoted objectives and purposes? ____ Your SSKC member sponsors: (1) _____________________ (2) _______________________
Your signature, when affixed to this membership application will affirm your agreement with the SSKC Constitution and Bylaws and you agree to be bound by this Code of Ethics.
Signed ________________________________ Date ________________ _________
Date Meetings Attended ____________ _____________ _____________
Dues Paid $ _______ Family--$20 Individual--$15
Application Read at Board Meeting _______________
Application Read at General Meeting 1st ____________ 2nd ___________
