Printable Membership Application

Greater Naples Dog Club, Inc. P.O. Box 564 * Naples, FL 34106

APPLICATION FOR MEMBERSHIP

Date:_______________________

Name:___________________________________________________ Home Phone:_____________________

Address:__________________________________________________ Work Phone:______________________

City:_______________________ State:________________ Zip:_____________

Occupation:________________________ E-Mail Address:_________________________________________

Breed(s) of Dog______________________________________________________________________________

For the membership roster, check all that apply. ( )Breeder ( )Exhibitor ( )Information on your breed ( )Rescue ( )Pet Owner

Have you ever been a member of a Dog Club? ( )Yes ( )No

Name and Location:__________________________________________________________________________

Have you ever had an experience as a: ( )Judge ( )Trainer ( )Handler or ( )Steward?

Where:______________________________________________________________________________

What type of activities or committees would you be interested in participating in? ( )Show ( )Match ( )Conformation Class ( )Obedience Class ( )Membership ( )Programs ( )Pet Therapy ( )Newsletter ( )Other_________________________________________

Any special interests that you can share with the club?___________________________________________

Annual Dues are Twenty Dollars $20 for single member, or,

Twenty Five Dollars $25 for family/household membership.

( ) I enclose $__________for annual dues. ( ) I paid $________________ through Paypal.

Sponsored by:________________________________________________________________________

I certify that I will abide by the By-Laws, rules and decisions of the Greater Naples Dog Club, Inc. and will hold harmless the Club and all persons connected therewith, in any capacity whatsoever, from any and all liability, cost and expense for any injury or damage to persons or property caused by any dog brought by me to any event held or sponsored by this Club. I understand that I must have two (2) readings before I am considered a member. In addition, I understand that as an Active Member of the Club, entitled to all club benefits, I will be expected to attend at least three (3) general membership meetings a year and participate in two (2) activities per year.

Applicant’s Signature (s)______________________________________________________________________

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CLUB SECTION First Reading_____________ Second Reading______________ Approved by Membership______________