Labrador Retriever Club of Northwestern Ontario

152 North Rockwood Ave. Thunder Bay, Ontario P7A 7A4 (807)767-8194

[email protected]

 

Membership Application or Renewal

 

Date:___________

 

Name(s):___________________________________________________________________

Address____________________________________________________________________

City:_____________________________________________ Postal Code:_______________

Phone:__________________ Fax: ____________________ Other: ____________________

Note: only the first number specified will be published.

Email:___________________________________________

Would you like your newsletter and other club business emailed to you?       Yes      No

Can we include your information in our club directory or webpage?      Yes    No

Can we include pictures of you and/or your dogs on our webpage & newsletter? Yes   No

 

IF APPLICABLE

Kennel Name: _______________________Tattoo Series: ______________

Are you a CKC member?   Yes  No   Membership number: _____________________

Do you belong to any other Labrador retriever clubs?   Yes    No   

If yes please specify: ________________________________________________________

 

Please check current areas of interests: (Please check all that apply)

Show   Obedience  Breeding  Family companion  Agility  Tracking  WC Tests

Field Trials  HuntTests  Hunting  Weekly training sessions

 Other, Please specify: ____________________

           

Would you be interested in HELPING the LRCNWO? (Please check all that apply)

 Newsletter     Executive member    Hunt Test/WC committee member  Hunt Test/WC  

 weekly training sessions      Fund raising   Other, Please specify: ________________

 

Membership:

GENERAL MEMBER: over 18 years of age, owns a Labrador, One Vote: $15.00

FAMILY MEMBER: over 18 years of age, owns a Labrador, Two Votes: $20.00

ASSOCIATE MEMBER: 18 years of age, interest in the breed, No Votes - $10.00

I/We have read the LRCNWO’s Constitution, Code of Ethics, By-laws and Objectives and I/We agree to abide by them.  The information above is correct to the best of my/our knowledge.  I/We understand that failure to abide by the Constitution, Code of Ethics, By-laws and Objectives will result in termination of my/our membership.

 

 

 

 

 

 

 

_______________________________                      ________________________________

Signature of Applicant                                               Signature of Co-Applicant

 

 

Cut and paste & email to [email protected] and/or mail cheque to 152 North Rockwood Ave, Thunder Bay. Ontario. P7A 6A4