Shoreline Shetland Sheepdog Club of Baytown
Membership Application Form

  Date                                       

  Name                                                                             Kennel Name:                                                      

  Address                                                           City                                 State             Zip                         

  Email Address:                                                                                                                                          

  Telephone                                                         Business Phone                                                              

  Occupation                                                                    Employment                                                         

  Sponsors (1)                                                                 (2)                                                                        

  Breed Activity(Check all that apply): oAgility oBreeder oConformation oHerding  

 oPet oPet Therapy  oObedience oRescue oTracking oOther                                                          

                                                                                                                                                                         

  Member of other Dog Clubs (Name of Club(s)/Offices Held):                                                                 

                                                                                                                                                                           

                                                                                                                                                                           

                                                                                                                                                                           

  Reason(s) for joining                                                                                                                                      

                                                                                                                                                                            

                                                                                                                                                                            

  Dues: $10.00                                                                I enclose $                    for annual dues.

  Please make checks payable to SSSCB and submit to the secretary along with Application.

  IF ELECTED TO MEMBERSHIP IN THE SHORELINE SHETLAND SHEEPDOG CLUB OF
 BAYTOWN, I AGREE TO ABIDE BY THE CONSTITUTION AND BY-LAWS OF THIS CLUB AND
 THE RULES OF THE AMERICAN KENNEL CLUB.

  Applicant's Signature                                                                                                                       

  Sponsors' Signatures (1)                                                            (2)                                                 

                                                PLEASE DO NOT WRITE BELOW THIS LINE

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  Date of FIRST Reading                           Date of SECOND Reading                                 

  Club Action:  Approved               Disapproved                               Date