What are your interests?

Please print out this form, fill it out and send it in with your

 membership application.

How long have you been interested in purebred dogs? ____ (years)

Do you exhibit purebred dogs in any of the following areas?

(Check all that apply.)

□ Conformation                      □ Obedience                          □ Agility

□ Earthdog                             □ Lure Coursing                    □ Herding

□ Other (Please specify) _____________________________

How many litters have you bred in the last five years? _________

Do you buy or sell litters or individual animals for resale?

                                       □ Yes                                        □ No

Are you or any member of your family involved in a commercial pet

establishment?                       □ Yes                                        □ No

If yes, please describe. _________________________________

Does this establishment sell dogs?    □ Yes                       □ No

Do you belong to any other kennel or breed club?

                                                                    □ Yes                       □ No

If yes, please list the name of the club below.

Club Name____________________________________________

Office or position held, if any. _____________________________

Club Name ___________________________________________

Office or position held, if any. _____________________________

Club Name ___________________________________________

Office or position held, if any. _____________________________

How would you like to participate in the Putnam Kennel Club?

(Please check all interests that apply.)

Interests

 

NEW Members Send Membership Application and Dues to Corresponding Secretary

 

Siobhan Conti

6 Parker Road

Sherman, CT 06784

 

Putnam Kennel Club | Schedule of Events | Meeting Schedule | Membership Application | Interests

 | Membership List | Pictures & Links

Point Show

□ Stewarding

□ Trophy Committee

□ Judges Committee

□ Hospitality

□ Catalogue Sales

□ Audio/Visual Technician

□ Grounds Committee

□ Publicity

□ Education

□ Other (specify)

__________________

_________________

Match Shows

□ Stewarding

□ Trophy Committee

□ Judging

□ Hospitality

□ Entries

□ Audio/Visual Technician

□ Grounds Committee

□ Publicity

□ Education

□ Equipment  Maintenance

□ Other (specify)

 

General

□ Newsletter      □ Membership                        □ Bd. Of Directors

□ Website              □ Meeting Programs            □ Training Classes

© 2009 PKC.  All Rights Reserved