Missouri Rhineland Kennel Club Application for Membership
www.missourirhinelandkc.c
Name(s): ________________________________________________________________________________________________
Address: _________________________________________________________________________________________________
Phone:  Home:__________________________Work: _______________________ Cell: _________________________________
Email Address:� ____________________________________________________________________________________________

Kennel Name (if applicable): _________________________________________________________________________________

Briefly explain why you are applying for membership in MRKC: _______________________________________________________
_________________________________________________________________________________________________________
List other club affiliations and/or offices held: _____________________________________________________________________
_________________________________________________________________________________________________________
MRKC is a working club- list your interests/preferences (i.e. training, conformation, performance events) in which you are willing
to volunteer. ______________________________________________________________________________________________
_________________________________________________________________________________________________________

Breeds you own:__________________________________________________________________________________________
How many litters do you have a year? __________________________________________________________________________
Are you in good standing with the American Kennel Club?  YES __________ NO ____________
If NO, please explain _______________________________________________________________________________________

Are you willing to abide by the AKC Rules applying to registration and dog shows and all other rules
regarding AKC endorsed events? YES ____________ NO _____________
If NO, please explain _______________________________________________________________________________________

Are you willing to abide by the constitution and By-laws of the Missouri Rhineland Kennel Club?  Yes _________ NO _________ 
If NO, please explain ________________________________________________________________________________________

_________________________________________________________________________________________________________

_____________________________________                     ___________________________
Applicant Signature                                                                      Date

_____________________________________                    ___________________________
Applicant Signature                                                                      Date

_____________________________________                   ___________________________
Junior Signature                                                                           Date

Dues are $15 for Single membership, $20 for Family, and $10 for Junior members. Dues MUST accompany this application
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ALL APPLICATIONS MUST CARRY SPONSORSHIP OF TWO MEMBERS IN GOOD STANDING.

Sponsors:; Please read and affirm:
I have read the completed application and I endorse the applicant(s) for membership in MRKC.   (Sponsors must be willing to appear on the applicants behalf at the initial meeting in which the applicant's application is presented.)
_____________________________________________                   _________________________________________________     Sponsor                                                                                                            Sponsor                                                                              

Date _________________________________________                   Date ______________________________________________

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First Reading ___________________ Second Reading _________________________
Accepted ______________________ Dues Paid ______________________________������������������������������� Rev 07/13/07
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