Agathon Kennel Club, Inc.
MEMBERSHIP APPLICATION
Name: __________________________________________________ Date: ______________
Address: _____________________________________________________________________
______________________________________________________________________________
Phone: _____________________________ Cell: ____________________________________
Email: [email protected]____________________________________
Occupation: ______________________________________________________________________________
Current breed(s) owned: ______________________________________________________________________________
______________________________________________________________________________
Other pet(s) owned: ______________________________________________________________________________
Do you properly maintain your pet(s) health & condition? ______________________________________________________________________________
Do you have a copy of the constitution, by-laws and code of ethics of the Agathon Kennel Club? Yes__________ No___________
Do you promise to abide by the constitution, by-laws and code of ethics of the Agathon Kennel Club? Yes__________ No___________
______________________________________________________________________________
List any other kennel club or obedience club affiliations: ____________________________________________________________________________________________________________________________________________________________
Two (2) current member endorsements:
1.____________________________________________________________________________
2.____________________________________________________________________________
Please address any questions you may have: ______________________________________________________________________________
Signature: ______________________________________________________________________________
********** For club use only **********
Applicant attended membership meetings on the following dates:
1.___________________________________2._________________________________
Date application was presented to and reviewed by the board: __________________________
Date application read to membership and presented to vote: ___________________________
Approved: Yes_________ No___________