LAKES REGION KENNEL CLUB, INC.
Application for Membership
Applicants must have two sponsors who are Club members in good standing and who are not related to applicant or to each other .
Name(s): ________________________________________________________________________________ Over 18? ________
________________________________________________________________________________ Over 18? ________
Address: (include mailing address if different) __________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
Telephone:(Home) __________________________________(Work) ________________________________________
e-mail: _____________________________________________________________
Occupation: _____________________________________________________________________________________
Kennel Name: __________________________________________ Breed(s): ________________________________
How many of each breed? ________________________________________________ Dogs: ______ Bitches: ______
How many dogs live in your household? _____________
Do you breed?________ If yes, how many litters do you have each year? _____________________
How long have you been active in dogs? __________________________
Are you in good standing with AKC? ______________
Do you show at AKC Point Shows or Matches? _______ in Breed? _______ in Obed.? ______
Other: __________________________________________________________________________________________
Please list any other dog clubs of which you are presently or have been a member, and any positions held:
________________________________________________________________________________________________
Are you willing to work on LRKC’s Point Shows, Matches, and/or other projects or events? _______
What particular areas of LRKC and our activities interest you the most? Please mark your interest and preferences in serving on the
committees or activities listed:
___Agility ___Awards ___Holiday/special parties ___Public Educ. ___Programs ___Pet Therapy
___Publicity
___Legislative “watch” ___Newsletter ___Sunshine ___Fund Raising
___Training classes (handling?___ or obed.?____)
___Matches: please list any areas of experience or interest:_________________________________________
___AKC Point Shows: _________________________________________
Other:____________________________________________________________________________________
Are there other particular projects and/or events that you would like to initiate or work on? Please outline your
idea(s):
____________________________________________________________________________________________
___________________________________________________________________________________________
How many meetings each year do you anticipate being able to attend? _______
Why do you want to become a member of Lakes Region Kennel Club?
________________________________________________________________________________________________
________________________________________________________________________________________________
How do you feel LRKC membership will improve your commitment to dogs?__________________________________
________________________________________________________________________________________________
I/We agree to abide by the Constitution, By-Laws, and Code of Ethics of the Lakes Region Kennel Club, Inc., and
the rules of the American Kennel Club, if elected to membership:
Signature of Applicant _______________________________________________________ Date: ________________
Signature of Applicant _______________________________________________________ Date: ________________
Sponsor’s Signature _____________________________________________________ How long known:__________
Sponsor’s Signature _____________________________________________________ How long known: _________
Sponsors’ Comments (if any) _______________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
DUES: Single: _____ Household: _____ Associate: _____
($20.)
($25.)
(S $15. or H $20.)
Date Paid: ______________ Amount Enclosed: $__________
(please make check payable to LRKC)
Junior: _____ Mail to: Lakes Region Kennel Club
($10.)
P.O. Box 752
Meredith, NH 03253