Membership Application

MEMBERSHIP APPLICATION
I hereby apply for membership in the German Shepherd dog club of the San Gabriel Valley, and if accepted, I agree to abide by it's constitution and by-Laws, and those of the American Kennel Club. I hereby certify that I am in good standing with the American Kennel Club.

NAME_____________________________________________________________________________DATE________
OCCUPATION__________________________________________________________________________________
STREET______________________________________________________PHONE_______________
CITY_______________________________________STATE______________ZIP CODE___________

APPLICANT'S SIGNATURE(S) IN INK_______________________________________________
________________________________________________

PROPOSED BY:
(GSDC/SGV MEMBER'S SIGNATURE(S) 1._______________________________________________
2.__________________________________________________

Dues must accompany each application as follows: $ 15.00 husband and wife, $ 10.00 per individual. Make checks payable to the GSDC/SGV. INC. and send them with your application to:                                                             Eugene Tasse
                                                                                                           Treasurer
                                                                                                           1129 W. Durness St.
                                                                                                           West Covina, Ca. 91790
Please complete the questionnaire below. It is designed to help your Board of directors evaluate your interests and to guide us in the development of monthly meeting programs and activities that will further your knowledge of the German Shepherd dog. Your answers will be held strictly confidential

1.    How many German Shepherd dogs do you currently own ?______________________________
2.    Have you taken advantage of any of the GSDC/SGV training classes? If so, indicate which ones:
       Obedience: Novice_______Advanced__________Open__________; Conformation/Handling______?
3.    Are you mainly interested in : Obedience________Conformation/\breed________Schutzhund_______?
4.    Are your children interested in Junior Handling ? Name______________________________Age____?
5.    Are you currently a: breeder_______exhibitor________judge________handler_______trainer______?
6.    List Champion(s) and/or Titled Dogs that you own or co-own:_________________________________
        _________________________________________________________________________________
7.     What is your Kennel Name ? __________________________________________________________
8.     Are You currently a member of the German Shepherd Dog club of AMeria ? __________since_______?
9.    Are you currently a member of any other dog clubs?________________________________________
10. Do you currently or have you held office in a dog club ?_____which office?_______________________
11. would you be interested in participating in any of the following committees: Shows_______Food_______
       Publications______Training_______Equipmenet( maint)_______Advertising_______other__________
12. Why do you wish to join the GSDC/SGV ? _________________________________________________
        __________________________________________________________________________________
13. Please list name, address, & phone in the club directory________omit the phone______do not list______
14. Please include a kennel ad in the Breeders Directory as follows:__________________________________
       ___________________________________________________________________________________
date of 1st reading: board________membership_________
date of 2nd reading: board________membership_________