PALMETTO
CAVALIER KING CHARLES SPANIEL CLUB
REGULAR MEMBERSHIP APPLICATION (Single and Family)
Regular memberships receive all Club publications and have voting privileges.
NAME(S)________________________________________________________________DATE__________________
ADDRESS_______________________________CITY_________________________STATE_______ZIP__________
HOME PHONE_______________________________WORK PHONE_______________________________________
EMAIL__________________________________________________OCCUPATION___________________________
TYPE OF MEMBERSHIP: SINGLE $20_______ FAMILY $30_______
(Sponsors must be Regular members in good standing)
SPONSOR # 1_______________________________________________________
SPONSOR # 2_______________________________________________________
HOW MANY CAVALIERS ARE IN YOUR HOUSEHOLD? _________________
HOW MANY LITTERS HAVE YOU BRED IN THE LAST TWO YEARS? ____________
IF YOU BELONG TO ANY OTHER DOG CLUBS (ALL-BREED, SPECIALTY CLUB PLEASE LIST:
________________________________________________________________________________________
HAVE YOU EVER HELD OFFICE IN ANOTHER DOG CLUB? ___________
IF YOU OWN ANY OTHER BREED OF DOG PLEASE LIST: ____________________________________
ARE YOU IN GOOD STANDING WITH THE AKC? YES _____ NO _____
DO YOU HAVE EXPERTISE IN ANY OF THE FOLLOWING AREAS?
TRAINING_____ SHOW HANDLING_____ BOARDING KENNEL_____ HEALTH/EDUCATION _____
ARE YOU AVAILABLE TO PARTICIPATE IN THE FOLLOWING AREAS?
SHOW COMMITTEE_____ MEMBERSHIP_____ NEWSLETTER_____ WEBSITE_____ RESCUE_____
I HEREBY APPLY FOR
REGULAR MEMBERSHIP IN THE PALMETTO CAVALIER KING CHARLES SPANIEL CLUB. I AGREE TO ABIDE BY THE CONSTITUTION,
BY-LAWS, AND THE CODE OF ETHICS OF THIS CLUB AND OF THE AMERICAN KENNEL CLUB.
_______________________________________________________ __________________________________
APPLICANT
DATE
_______________________________________________________ __________________________________
CO-APPLICANT
DATE
Remit signed application, signed Code of Ethics and
membership fees (checks made out to Palmetto Cavalier Club) to:
Palmetto Cavalier King Charles Spaniel Club
48 Eastlake Road
Mount Pleasant, SC 29464