Appendix I. Labrador Retriever Club of the Chesapeake Application for Membership and Sponsor s Forms

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1 Appendix I Labrador Retriever Club of the Chesapeake Application for Membership and Sponsor s Forms Type of Membership: Regular [ ], Junior [ ] Name: Address: Kennel name (if any): Phone (H): Phone (W): Phone (Cell): Fax number: address: Occupation: Sponsor Number One: Sponsor Number Two:

2 1. Please give the reason(s) why you wish to join the LRCC: 2. List experiences or talents that could help the Club and/or its committees: 3. Check at least 3 areas of Club activities in which you are willing to participate or contribute: Conformation [ ], Obedience [ ], Rally [ ] Field [ ], Education [ ], Newsletter [ ], Events Planning [ ], Club/Show Trophies and Awards [ ], Rescue [ ], Web site [ ], Membership [ ], Judges Selection [ ], Other [ ] 4. When did you acquire your first and your current Labrador(s)? 5. List all the dogs you have owned, currently own and/or co-own, including registration name and number. Name / Number / Breed /Breeder / Co-owner 6. If you are a breeder, how many litters have you bred within the last 5 years? (Give dates; breed for each if other than Labradors) 7. Describe in detail how your dogs are housed and maintained: 8. Are you now or have you ever been a member of any breed, kennel, or obedience clubs? Yes [ ], No [ ]. If yes, list names of clubs, dates of membership, and any offices held. 9. Have you ever been or are you now suspended by the AKC? Yes [ ], No [ ].

3 If yes, give dates and complete details. 10. Have you ever been requested to resign your membership in another club? Yes [ ], No [ ]. If yes, give dates and details. I hereby apply for membership in the Labrador Retriever Club of the Chesapeake. If accepted, I agree to abide by its Constitution and by-laws, Rules and Regulations, and the rules of the American Kennel Club. I also agree to care for my dogs in an exemplary manner, and to conduct myself in a manner that reflects well upon the LRCC, the breed and the fancy. Signature: Date: *Return the application, the two sponsor s forms, and the non-returnable $15.00 application fee to: (Current Membership Chair) *NOTE: If elected to Club membership, the new member has 30 days to pay their annual dues. The annual dues of the Club are $30.00; which are prorated by month for persons elected to membership during the year. Junior applicants may request financial assistance from the Scholarship Fund for the application fee and membership dues. Form date: September 20, 2013

4 Appendix II Labrador Retriever Club of the Chesapeake Membership Application -- Sponsor s Form Sponsor s Form An applicant must be sponsored by two members of the LRCC in good standing from separate households. It is strongly recommended that one of the sponsors live in the same general area of the country as the applicant. A new member may not sponsor an applicant for a period of one year following acceptance into LRCC. This form should be returned to the APPLICANT that you are sponsoring; for the applicant to submit with their application. Sponsor: Sponsor s Address: Sponsor s Phone: Sponsor s fax: Sponsor Applicant: Applicant s Address: Applicant s Phone: Applicant s Cell: Applicant s

5 1. How many years, and in what capacity have you known the applicant? 2. How many Labradors does the applicant own or co-own? 3. Does the applicant show and/or breed these dogs? Yes [ ] No [ ] 4. Does the applicant own other breeds of dogs? Yes [ ] No [ ] If yes, list breed(s) and the number of each. 5. Describe the applicant's involvement with Labrador Retrievers (exhibiting in conformation, field, agility, obedience, tracking, pet therapy work, pet companion, etc.) 6. Does the applicant intend to breed these dogs? Yes [ ] No [ ] 7. Does the applicant's dog provide stud service? Yes [ ] No [ ] 8. Please check any areas of Club activities in which you think the applicant would be willing to participate or contribute: Conformation [ ], Obedience [ ], Rally [ ] Field [ ], Education [ ], Newsletter [ ], Events Planning [ ], Club/Show Trophies and Awards [ ], Rescue [ ], Web site [ ], Membership [ ], Judges Selection [ ] Other [ ] 9. Describe the manner in which the applicant houses and maintains his/.her dogs. Sponsor's Signature: Date: This form should be returned to the APPLICANT that you are sponsoring; for the applicant to submit with their application. Form date: September 20, 2013

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