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Please print this page and mail this to the K.H.C. with payment.

The Kansas Hawking Club
Membership Application
Rev. 1999

Name: __________________________            Age (optional):__________


Address:_________________________

              _________________________

        Application For:
        New Member          ($10) _____
        Renewal                   ($10) _____
        Associate Member ($10) _____
     
Phone No. (____) _____ - _______ E-mail _________________________

License level:         _____ Apprentice     _____ General     _____ Master
Birds Currently in Possession:

  1. _________________________  Sex_________  Age  _________
  2. _________________________  Sex_________  Age  _________
  3. _________________________  Sex_________  Age  _________
Prior Falconry experience
________________________________________________________________

________________________________________________________________

________________________________________________________________

Do you want the Kansas Hawking Club to release your name to other falconers, potential falconers, and suppliers of falconry related equipment?
_______Yes  _______ No
Applicants agree to abide by and support the constitution and by-laws of the Kansas Hawking Club.

Signature: ______________________________  Date: ______________

 

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