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Membership Application

KERN COUNTY T.O.P. DOG CLUB
APPLICATION FOR MEMBERSHIP

Please fill out the form below as completely as possible. When you are finished, click submit or print this page from your browser, and bring with you to a training session or event. Alternately, you may mail your application to:

Kern County T.O.P. Dog Club
3001 River Blvd.
Bakersfield, CA 93305-1857
Or you may fax it to: 661-872-3939
Type of membership desired:

Individual Family Junior Limited

Applicant:
Co-Applicant:

Address Address
City City
State, Zip State, Zip
Date of Birth
Date of Birth


Applicant's Dog/s:
Co-Applicant's Dog/s:
Dog #1:
Dog #1:

Registered Name

Registered Name
Registration #
Registration #
Tatoo Tatoo
Call Name
Call Name
Breed Breed
Color
Color
Female
Male
Female
Male
Date of Birth
Date of Birth
Spayed/Neutered
Yes No
Spayed/Neutered
Yes No
Titles
Titles

Sires Name

Sires Name

Sires Registration #

Sires Registration #

Dams Name

Dams Name

Dams Registration #

Dams Registration #

Breeders Name

Breeders Name
Dog #2:
Dog #2:
Registered Name
Registered Name
Reg. No.
Reg. No.
Tatoo Tatoo
Call Name
Call Name
Breed
Breed
Color Color
Female
Male
Female
Male
Date of Birth
Date of Birth
Spayed/Neutered
Yes No
Spayed/Neutered
Yes No
Titles
Titles

Sires Name

Sires Name

Sires Registration #

Sires Registration #

Dams Name

Dams Name

Dams Registration #

Dams Registration #

Breeders Name

Breeders Name
QUESTIONNAIRE

1. Why do you want to join this Club?

2. What are your goals with your dog/s?

3. Do you have any special talents you'd like us to know about, or do you have access to any tracking or training areas, which the club may be able to use? (If yes, please list.)

4. List all other breed or training clubs that you are a member of.

FEES:

A complete fee schedule is available from the Contact Secretary/Treasurer for membership fees.
The above applicant/s are sponsored by:

The next steps to becoming a member are:

  1. Attend your first club function and sign the waiver and application forms. Please print out the By-laws, liability waiver, and standing rules and bring to your first club function.
  2. After a probationary period of 4 weeks during which you must attend 6 training sessions or club functions, and after a majority acceptance vote of the membership, your application will be processed through to Germany

I/We have read, understand and agree to abide by the KCTOPDC Constitution & By-Laws.
I/We have read, understand and agree to sign the liability waiver at our first visit to the club.
I/We have read, understand and agree to abide by the KCTOPDC Standing Rules.

Signature _________________________________ Date __________________________

By clicking the submit button below, I/We are applying for membership in the Kern County T.O.P. Dog Club. Acceptance is decided by a majority vote of the membership and not guaranteed.
 

 
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Kern County T.O.P. Dog Club
3001 River Blvd.
Bakersfield CA 93305

General Information:
Webmaster:

TOPinfo@kctopdogclub.com
webmaster@kctopdogclub.com

Schutzhund - Triathlon for Dogs