Name:______________________________________________________________________
Address:__________________________________________________________________
City:_______________________________Postal
Code:__________________________
Phone (with Area Code) :___________________E-Mail__________________________
Kennel Name:______________________________________________________________
Breed Variety:_____________________________________________________________
Colors:____________________________________________________________________
Website:___________________________________________________________________
Tattoo Series:___________________C.K.C Number___________________________
ensure
you have two sponsors before mailing your application : Sponsored By:_____________________________________________________________ Second Sponsor:_________________________________________________________ please
tell the club something about yourself and why
you want to be
a member _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ What
activities do you participate in with your
poodle ? conformation
______ obedience
_______ Agility
______ Other ___________
I/We hereby agree to abide by the constitution, By-laws and
Code of Ethics set forth by the Poodle Club of Canada.
The Poodle Club of Canada has the right to decline any membership application that does
not meet its requirements. Signature________________________________________Date : ___________________ Individual $40.00,Couple $50.00, Junior $7.00 Please
send your application form and cheque to: Diane Welsh
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