DEL BAY RETRIEVER CLUB, INC.

 

DBRC Membership Application

 

 

Name: ______________________________________________________________________________

 


Kennel Name: ________________________________________________________________________

 


Address: ____________________________________________________________________________


City, State: ______________________________________________________ Zip Code: ___________


Home phone: ___________________________________ Business phone: _______________________


Cell phone: _______________________________________  Fax: ______________________________


Email address: _______________________________________________________________________


WWW home page URL: ________________________________________________________________


Number of years involved with retrievers: ____________ Breed: ________________________________

 


Participate in: (please place an "X" next to all events in which you participate)

 

AKC Field Trials____  AKC Hunt Tests ____  AKC Obedience Trials ____  AKC Agility Trials____
AKC Conformation Shows ____     AKC Tracking Tests ____     NAHRA ____   
OTHER (please list)_____________________________________________________________


Professional trainer _____ Amateur _____

 

Titles or placements you have obtained with your retrievers: (please place an "X" next to all that apply)


AKC Field Trials: FC___  AFC____  NFC____  NAFC____ placed /JAM in Open____

Placed /JAM in Amateur____   placed /JAM in Qualifying____ placed /JAM in Derby____

Qualified All Age____   Derby List____

AKC Hunt Tests: Master Hunter ____ Master National Qualifier____ Senior Hunter____

Junior Hunter____       Working Certificate____ Working Certificate Excellent____

AKC Obedience Trials: CD____ CDX____ UD____ UDX____ OTCH____ CGC____

AKC Tracking Tests: TD____ TDX____

Other:  ______________________________________________________________________

 

Judging experience: (please place an "X" next to all that apply to your judging experience)

 

AKC Field Trials: Total # of Pts: _____ Open____ Amateur____ Qualifying____ Derby____ Puppy_____
 

AKC Hunt Tests: Total # of Pts: _______ Master Hunter____ Senior Hunter____ Junior Hunter____ Puppy_____


AKC Obedience Trials: Novice____ Open____ Utility____ CGC____

 

AKC Tracking Tests: TD____ TDX____

 

Other: _______________________________________________________________________

 

 

Volunteer: (please place an "X" next to all categories in which you would be willing to help)

AKC Field Trials: Judge____ Marshaling____ Flyer Gun____ Popper Gun____ Throwing____ Blind Planting____
Lunch Planner____ Chairperson____ Event Secretary____ Field Trial Committee____

AKC Hunt Tests: Judge____ Marshaling____ Flyer Gun____ Popper Gun____ Throwing____ Blind Planting____
Lunch Planner____ Chairperson____ Event Secretary____ Hunt Test Committee____

Other: Picnic Trials____ Training Days____ Basic Obedience Days____ Newsletter____

K9 Eye Clinic____


Clean Up Day on the Canal____ AKC Judges’ Seminar____ Company Store____ Committee member____ Hospitality____

Other: (please list) ____________________________________________________________

 

I hereby agree to abide by the Constitution and By-Laws of the Del Bay Retriever Club, Inc. and the governing rules of the American Kennel Club.

____________________________________________________________________________________
APPLICANT'S SIGNATURE & Date

DBRC Membership Sponsors: (Must be a current good standing DBRC member)


____________________________________________________
#1 - Member's name


____________________________________________________
#2 - Member's name

Membership dues are $30.00 per person per year. Please remit check or money order along with a separate application for each individual. Thank you for your interest in Del Bay Retriever Club. Your application will be presented at the next meeting of the DBRC Board of Directors and Officers. You will be notified of the Board of Directors' and Officers' decision regarding your application for membership. 

 

If you have any additional questions, please contact our DBRC Secretary, Lois by email This e-mail address is being protected from spambots. You need JavaScript enabled to view it or phone 302-750-0025.

 

Please return this application and dues to:

 

Lois Gebrian

708 Walker School Road

Townsend, DE 19734

 

 

Attachments:
Download this file (DEL BAY RETRIEVER CLUB - new member application.pdf)DEL BAY RETRIEVER CLUB - new member application.pdf[DEL BAY RETRIEVER CLUB - new member application.pdf]63 Kb

Last Updated (Monday, 03 February 2014 19:39)