WEIMARANER ASSOCIATION OF CANADA MEMBERSHIP APPLICATION NAME: ___________________________________________________ __________________________________________________________ Family Membership: (Please give full name of the adult family members seeking approval) ADDRESS:________________________________________________ ________________________________________________ Postal Code:______________________________________ TELEPHONE: Home:_________________Work:___________________Fax:___________________ email:_____________________________ NAMES OF CHILDREN UNDER 18: ____________________________________________ ________________________________________________________________________ YOUR REGISTERED KENNEL NAME (if applicable):______________________________ YOUR CKC MEMBERSHIP NUMBER(S) (if applicable):_____________________________ YOUR TATTOO COMBINATION (if applicable):___________________________________ REGISTERED NAMES OF DOGS:_______________________________________________ ____________________________________________________________________________
Family Membership - $25 ( ) Single Membership - $18 ( ) PLEASE CHECK THE FOLLOWING AREAS OF INTEREST: AGILITY ( ) CONFORMATION ( ) FIELD ( ) OBEDIENCE ( ) TRACKING ( ) NAME OF SPONSORING MEMBER:____________________________________________ I/We hereby agree to adhere to the Constitution of the Weimaraner Association of Canada and the Code of Ethics of the Weimaraner Association of Canada provided to me/us along with this application form. DATED at ______________________this_________day of ________________/__________
_________________________________________________________ Signature of each adult seeking membership _________________________________________________________ Signature of each adult seeking membership PLEASE SEND THIS APPLICATION ALONG WITH CHEQUE PAYABLE TO THE WEIMARANER ASSOCIATION OF CANADA Wendy M.
McKay
Email: membership at weimaranercanada.org |