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MEMBERSHIP APPLICATION
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MEMBERSHIP APPLICATION

GREAT NORTHERN ROTTWEILER CLUB

 

Membership Application

 

(This form may be photocopied)

 

 

Name:________________________________________________________________________________

 

If family membership, other member(s) name(s):______________________________________________

 

_____________________________________________________________________________________

 

Address: ______________________________________________________________________________

 

                 ______________________________________________________________________________

 

Phone (Home):______________________________          Work:_________________________________

 

E-mail: _______________________________________________________________________________

 

What are your main interests?  (Check all that apply.)

 

_____ Breeding       _____ Conformation             _____ Search and Rescue                                      _____ Protection     _____ Tracking                     _____ Obedience                                            

_____ Herding         _____ Carting                      _____ Agility

_____ BST              _____ Therapy Dog              

 

Other__________________

 

List all dog club affiliations (local, national or foreign):_________________________________________

 

_____________________________________________________________________________________

 

ANNUAL DUES (renewal in _______________)                                          Current USRC member?

_____ New member $100                                                                                         _____ yes

_____ Renewal $50                                                                                          _____ no

 

I (We) will abide by the USRC Standard for the Rottweiler (FCI Standard 146/10.06.2000/D) and will only breed to males/females that comply with this standard.  Further, I (we) will only breed to Rottweilers that have been certified by OFA, FCI (A and B), GDC or that have been certified HD- or HD+/- by the ADRK and are at least two years of age.  I (We) understand that these are conditions for becoming and remaining member(s) of both GNRC and the USRC.

 

Signature:______________________________________________                Date:________________________

 

Signature:______________________________________________                Date:________________________

 

All new members must be endorsed by two current GNRC members in good standing.

 

Signature:______________________________________________                Date:________________________

 

Signature:______________________________________________                Date:________________________