Date received
__________
Approved_____Rejected_____
First reading ___________
Second reading
_________
Dallas Shetland Sheepdog Club,
Inc.
Membership
Application
Name________________________________________Phone
H____________W___________
Address______________________________________City________________St___Zip_____
Occupation__________________________________EMail____________________________
Kennel
Name_________________________________________________________________
Type
of Shetland Sheepdog fancier: (Please check as many as applicable)
Breeder___Hobby___Pet___Show___Obedience___Agility___Herding___
Number
of Dogs_____ Bitches_____
(On the reverse side, please give registered
names(s), AKC number(s), birth date(s), and sire and dam of each dog.)
How many years have you been a Shetland Sheepdog
fancier?_________
*******************************************************************************************
1)
Have you ever been suspended by the American Kennel Club?____
If yes, give details on reverse side.
2) Are you now, or
ever have been, a member of any Breed or Kennel Club?____
If yes, name them on the reverse side.
3) Have you ever
been suspended from any Breed or Kennel Club?____
If yes, give details on reverse side.
4) Have you ever
been cited by the S.P.C.A. or Animal Control?____
If yes, give details on reverse side.
Recommended and
endorsed by the following DSSC members:
1.
___________________________________________________________
2.
___________________________________________________________
IMPORTANT
- A CHECK AND SIGNED CODE OF ETHICS MUST ACCOMPANY THIS APPLICATION