LONE STAR FLOCK TENDING SHEPHERDS
MEMBERSHIP APPLICATION
NAME_________________________________________________________________
ADDRESS ___________________________Occupation_________________________
CITY_________________________________ ZIP ________________________
PHONE____________________________CELL________________________________
EMAIL_______________________________________________________________
OWN A REG. AKC DOG?______BREED?__________HOW MANY?___________
HAVE YOU REGISTERED AN AKC LITTER OF PUPPIES
IN THE LAST 3 YEARS?_____________________________________________
PREVIOUS TENDING EXPERIENCE______________________________________
OTHER AKC DOG ACTIVITIES IN LAST 2 YEARS ______________________________________
WHAT AKC TITLES HAVE YOU EARNED _________________
LICENSED AKC JUDGE? _______________
WHAT ACTIVITIES DO YOU
WANT TO SEE THE CLUB
SPONSOR?____________________________
I AGREE TO HOLD THE LONE STAR FLOCK TENDING SHEPHERDS (THE TENDING CLUB)HARMLESS FOR ANY INJURY TO MYSELF, MY FAMILY, MY DOG(S), OR MY PROPERTY WHILE TAKING PARTIN ANY TENDING CLUB ACTIVITIES OR EVENTS. FURTHER, I ACCEPT FULL RESPONSIBILITY FOR ANY DAMAGES OR INJURY TO ANY PERSONS, LIVESTOCK, OR PROPERTY CAUSED BY ME, MY FAMILY, OR MY DOG(S).I ALSO AGREE TO ABIDE BY THE CONSTITUTION AND BY--LAWS OF THIS CLUB AND TO FOLLOW THE RULES OF THE AMERICAN KENNEL CLUB. I authorize via email notification of club meetings, board meetings, dues notices, minutes and newsletters.
SIGNED______________________DATE__________
ENDORSED BY________________
MAIL WITH $5 -ASSOCIATE MEMBER, $10 -IND. VOTING MEMBER OR $20 -FAMILY VOTING MEMBER DUES TO:
FLOYD HARDING
1816 WATERWOOD DR
ARLINGTON TX 76012-5742
817-275-5128
fdharding@tx.rr.com