GREATER PITTSBURGH POODLE CLUB                                             Application for Membership

 

Name_________________________________________________________________________________________________

 

Address_____________________________________City____________________________State____Zip Code_____-_____

 

Home Phone (_____)___________Work Phone (_____)___________ E-Mail______________________________________

 

Kennel Name___________________________________________________Occupation______________________________

 

1. Are you over 18 years of age ?                                                                                                                 Yes___    No___

 

2. Are you or your immediate family the owner of a Poodle at this time ?                                                 Yes___   No___

 

3. How many Poodles do you own ?                                                                                   0___   1___   2-6___   Over 6___  

 

4. What size do you have or is of interest to you. (Check all that apply)                  Standards___Miniatures___Toys___  

 

5. Are your Poodles registered with the A.K.C. ?                                                                                        Yes___   No___  

 

6. Are your Poodles individually identified ? (Tattoo, microchip, etc.)                                                       Yes___   No___  

 

7. Have you ever    Exhibited ___   Bred ___   or Judged ___   Poodles ?

 

8. Have your privileges ever been suspended or revoked by the A.K.C. or any Club ?                               Yes___   No___  

IF YES please explain.

______________________________________________________________________________________________________

 

9. Are you a member of any other dog or breed clubs ?                                                                               Yes___   No___

IF YES please list.

______________________________________________________________________________________________________

 

10. Is your business or an immediate family member connected with dogs or dog equipment ?                Yes___   No___

IF YES please explain.

______________________________________________________________________________________________________

 

11. Are you willing to serve on a committee of the G.P.P.C. ?                                                                    Yes___   No___

 

12. Are you willing to work as a member of this for the advancement of the Poodle Fancy,

      good sportsmanship, and in the best interests of the Club ?                                                                 Yes___   No___

 

13. Indicate your areas of interests.       Conformation___    Obedience___ Agility___ Breeding___Rescue___Other___

 

Remarks.(Please note any information that you would want to present with your Application)______________________

 

______________________________________________________________________________________________________

 

______________________________________________________________________________________________________

I, THE UNDERSIGNED, hereby apply for membership in the Greater Pittsburgh Poodle Club. I agree to abide to the Constitution, By-Laws, rules, and regulations of the Club and A.K.C.. I have read and all questions above truthfully and fully. I also understand that the placement os sale of any  puppy/dog to a broker or pet shop is cause for immediate dismissal from the Club Membership.

 

Signature of Applicant______________________________________________________________________________Date____/____/____

 

SPONSOR MEMBERS

 

1. _______________________________________________________________________________________________Date____/____/____

 

2._______________________________________________________________________________________________Date____/____/____