Each person in a family must apply separately and complete this Individual Membership Application.

NAME:__________________________________________________________

ADDRESS:_______________________________________________________

HOME PHONE:__________________

WORK PHONE:__________________

E-MAIL: ________________________

MEETINGS ATTENDED:_________________________________________

____I am subscribing only to the WWWC newsletter and am not applying for membership.

One-year subscription rates are $15.00 in the United States or $17.50 (U.S. funds) in Canada.

$___is enclosed for a 1 year subscription. Newsletter subscribers do not need to complete the following:

OCCUPATION:____________________________________________________________________________________

HOBBIES/INTERESTS______________________________________________________________________________

Do you own a Weimaraner? (Circle one) Yes No

Are you a member of the Weimaraner Club of America? (Circle one) Yes No

If not, are you interested in becoming a member? Yes No

Which of the following activities will you participate in (Check all that apply)

Conformation___. Obedience___. Field Trials___. Hunting___. Tracking___. Agility___. None___.

Other (specify)_____________________________

The success of a club depends on active participation of its members in planning and staging the various events. Please indicate which committee(s) you would like to work on. (Committee descriptions on reverse side.)

___Canine Good Citizenship Test ___Hospitality ___Weimaraner Rescue

___Field Trial ___HuntingTest ___WCA Rating Test

___Fun Day ___PerpetualTrophies/Awards ___Trophy (All-Breed)

___Fund Raising ___SpecialtyShow ___Other

$______ is enclosed for my WWWC membership. $15.00 Adults, $7.50 Juniors 12-18 years

$17.50 (U.S. Funds) for Canadian Membership, $8.75 for Canadian Junior.

There shall be two types of membership open. The first shall be termed “adult membership” and shall be open to all persons 18 years of age and older who are in good standing with (not under any type of restriction or censure by) the American Kennel Club and Weimaraner Club of America, and who subscribe to the purposes of this club. The second shall be open to any adult member’s child between 12 and 18 years, who will be allowed to participate in club functions in a no-vote status for an annual dues fee of one-half of the adult membership fee.

Prospective members may receive an application at the first meeting attended. After attending a second meeting or participating/working at a WWWC event, the application will be published in the club newsletter. At least one sponsor of the applicant must be present at the meeting when the prospective member is voted on.

I hereby agree to abide by the Constitution, By-laws, Policy & Procedures and Mission of the Western Washington Weimaraner Club and the rules of the American Kennel Club.

Signature of Applicant:____________________________________________________________ Date:________________

The signatures of two sponsors in good standing with the WWWC are required:

First Sponsor’s Signature:__________________________________________________________ Date:_______________

Second Sponsor’s Signature: ________________________________________________________Date:_______________

DO NOT WRITE BELOW THIS LINE

Received by secretary (date):____________________________ Election Date:___________ Accepted:____ Rejected_____

List dates of two functions Applicant attended:______________________________________________________________

Name(s) of Sponsor(s) present at meeting when vote is taken:__________________________________________________

Mail completed form to Secretary:________________________________________Secretary’s Phone #_________________