NORTH CENTRAL TEXAS HERDING DOG ASSOCIATION
MEMBERSHIP APPLICATION

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NAME_______________________________________________________________
ADDRESS_________________________________________________________________________________

PHONE--HOME________WORK__________FAX______________EMAIL______________________________

OCCUPATION___________________________BREED(S) OF DOGS_________________________________

PREVIOUS HERDING EXPERIENCE___________________________________________________________

MEMBERSHIP IN OTHER CLUBS?____________________________________________________________

WHAT OTHER DOG ACTIVITIES, SUCH AS OBEDIENCE, CONFORMATION, ETC,
DO YOU PARTICIPATE IN?___________________________________________________________________

HAVE YOU BRED A LITTER OF PUPPIES IN THE LAST THREE YEARS?____________________________

HAVE YOU EXHIBITED A DOG IN ANY AKC-LICENSED EVENT IN THE LAST 18 MONTHS?____________

WHAT AKC TITLES HAVE YOU EARNED?______________________________________________________

ARE YOU AN AKC-LICENSED JUDGE?_________IF YES, FOR WHAT EVENTS________________________

WHAT ACTIVITIES DO YOU WANT TO SEE THE CLUB SPONSOR?__________________________________

WHAT COMMITTEES AND/OR OFFICES WILL YOU BE WILLING TO WORK ON?_____________________
_______________________________________________________________________________________

I AGREE TO HOLD THE NORTH CENTRAL TEXAS HERDING DOG ASSOCIATION (THE HERDING CLUB) HARMLESS FOR ANY INJURY TO MYSELF, MY FAMILY, MY DOG(S) OR MY PROPERTY WHILE TAKING PART IN ANY HERDING CLUB ACTIVITIES OR EVENTS. FURTHER, I ACCEPT FULL RESPONSIBILITY FOR ANY DAMAGES OR INJURY TO ANY PERSONS, LIVESTOCK OR PROPERTY CAUSED BY ME, MY FAMILY, OR BY MY DOG(S) I AGREE TO ABIDE BY THE CONSTITUTION AND BY-LAWS OF THIS CLUB AND TO FOLLOW THE RULES OF THE AMERICAN KENNEL CLUB.

(SIGNED)___________________DATE_____________ENDORSED BY_______________________________

MAIL WITH $10 ASSOCIATE MEMBER, $15 INDIVIDUAL VOTING MEMBER OR $20 FAMILY VOTING MEMBER DUES TO:

Sue Sweetnam
3109 Big Oaks Drive
Garland, TX 75044
972.530.0145
sue@sweetnam.com