YORK COUNTY KENNEL CLUB OF MAINE

MEMBERSHIP APPLICATION

Please answer all questions completely to avoid any delays. The application should be submitted to the membership chairman with a check for the non-refundable processing fee of $5.00. The application will be read to the club members at the first meeting following its receipt, and it will be voted upon at the first meeting after the candidate has completed any necessary requirements for membership (see below).

Dues will be due upon a candidate’s notification of election to membership. Those who join between January 1 and June 1 will be responsible for a full year’s dues. Those who join after June 1 will be responsible for a half year’s dues.

CLASSIFICATIONS OF MEMBERSHIP

REGULAR -- Welcomed at the club’s monthly business meetings and encouraged to be a working participant in at least one club activity and function per year. Entitled to vote, hold office and receive club awards. Dues are $15.00 per year.

HOUSEHOLD -- Available to households consisting of two adults, with or without children under 18, residing under one roof. Welcomed at all meetings and club functions. Entitled to one vote per adult over 18, may hold office and receive club awards. Dues are $20.00 per year.

ASSOCIATE – Two types of associate membership – individual and family (2 adults and children under 18 residing under the same roof) –are available. Welcomed at meetings and club functions. Encouraged to a working participant in a club activity. Cannot vote or hold office and are not eligible to receive club awards. Dues are $20.00 per year irrespective of type of associate membership.

JUNIOR – Open to individuals who are 17 years of age or younger. At the end of the calendar year in which they attain their 18th birthday, junior members must apply for membership as active or associate members. Dues are $10.00 per year.

APPLICATION

Name: ______

Address: ______

City/State/ZipCode: ______

Telephone: ______Cell number: ______

Email address: ______

Classification of membership applying for: ______

Do not write below this line.

Application fee paid? Yes No Date: ______Amount: ______

(Page 2)

Breeds owned (present and past):______

Litters bred, if any, within the past 3 years: ______

Have you exhibited at matches, shows, trials? If yes, when and where? _____

______

List membership (s) in other dog clubs and offices held (if any)? ______

Have you ever been refused membership in another dog club or organization? If yes please explain.______

______

Have you ever been reprimanded, expelled or placed on probation by the AKC or any other governing Club. If yes, please explain.______

______

State your interest in dogs, (breeding, exhibiting and or handling in conformation, obedience, agility, tracking, hunting or other therapy or visitation / purebred companion animals: ______

What do you hope to get out of membership in the Club? ______

Keeping in mind that a willingness to work on club committees is the backbone of any organization, please list any skills that you feel you could contribute: ______

Which committee(s) would you be interested in participating on: newsletter, match, eye-clinic, public education, class, handling, obedience instruction, legislature or other? ______

SIGNATURE OF FIRST SPONSOR(must be a club member):______

SIGNATURE OF SECOND SPONSOR(must be a club member): ______

MEMBERSHIP DUE AND APPLICATION PROCESSING FEE

Annual membership dues:$15.00 for regular membership

$20.00 for household membership

$20.00 for associate individuals or associate family

$10.00 for junior memberships (10-17 years old)

Application processing fee (non-refundable): $5.00

Current bylaws posted on the club’s website:

I (we) hereby apply for membership in the York County Kennel Club of Maine. I (we) agree to abide by the club’s rules and bylaws and certify that I (we) am (are) in good standing with the American Kennel Club. I (we) certify that all the above information is true and correct to the best of my (our) knowledge.

SIGNATURE (S): ______DATE: ______

SIGNATURE: ______DATE: ______

(Do not write below this line.)

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1ST Reading: ______2nd Reading______Approval: Yes No Amt pd:____