SKYLINE  KENNEL  CLUB,  INC.

STAUNTON,  VIRGINIA

                                               

 

                                                                        Date of Application_______________

 

 Name_________________________________________________________________

 

 Address________________________________City________________Zip___________

 

 E-mail_________________________________ Home Phone______________________

 

 Occupation______________________________Business Phone___________________

 

 Are you applying for Junior membership? (10 yrs. through 17 yrs.)___________

 

          If so, please state birthday______________________________________

 

 Are you applying for Regular membership? (18 yrs. And over)_______________

 

 Breeds of dogs owned (include number and sex)_______________________________

 

 ______________________________________________________________________

 

 ______________________________________________________________________

 

 Are you in good standing with the AKC?____________________

 

 Do you own any dogs that have been finished to championship?_______________

 

            If yes, state name, breed and date____________________________________

 

 ______________________________________________________________________

 

 Have you bred any AKC registered litters in the last two years?________________

 

           If yes, state breed, date, and litter registration number_____________________

 

 ______________________________________________________________________

  

 ______________________________________________________________________

 

 Do you have an AKC registered dog at stud?______________

 

 Have your dogs earned Obedience or other AKC Performance Titles?_____________

          

             If yes, state name, breed, title and date_________________________________

 

 _______________________________________________________________________

 

 

Please specify other dog-related activities. (Grooming, Handling, Teaching, Stewarding,    etc…________________________________________________________

 

______________________________________________________________________

 

What other dog-related organizations do you belong to?_________________________

 

______________________________________________________________________

 

______________________________________________________________________

 

Please indicate the areas in which you prefer to help the club.

Dog Training_______Programs__________Sunshine__________Publicity__________

 

Membership________Hospitality_________Club Dinners and Picinics___________

 

Emergency Telephoning___________Club Newsletter__________

 

The Skyline Kennel Club requires that prospective members attend at least two club meetings prior       to application for membership.

          

           Meetings attended (dates)_________________________________________

 

I agree to abide by the Constitution and By-laws of the Skyline Kennel Club and to conform to the rules of the American Kennel Club.

 

Signed_________________________________________________________

 

Sponsers (2 Non-related members who will recommend this individual as a good potential member.)

 

           1)________________________________________________________

 

           2)________________________________________________________

 

Please return this application with dues to:

 

Dues:

Individual membership:

          Junior membership            $5.00

          Regular membership         $20.00

Family membership:                   $25.00

 

______________________________________________________________________

Presented to the Board (date)­­­__________________

Presented to the Membership (date)_____________

Membership Chr.____________________________