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 at the next Club Meeting.

 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 Yes/No Disapproved Yes/No     Date