We have several types of Membership's. Please take a moment
and see which one fit's your lifestyle.
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Membership Dues
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Individual. Has full voting rights. Can run for office. Must donate time to club activities.
Family. For two individuals, 18 years of age or older, living in the same household.
Has full voting rights. Can run for office. Must donate time to club activities.
Junior. Under 18 years of age. Must have parent or guardian accompany them to club activities.
May vote on social club activities. Cannot hold office. Must donate time to club activities.
Family. For two individuals, 18 years of age or older, living in the same household.
Has full voting rights. Can run for office. Must donate time to club activities.
Junior. Under 18 years of age. Must have parent or guardian accompany them to club activities.
May vote on social club activities. Cannot hold office. Must donate time to club activities.
SOUTHERN MICHIGAN SCHIPPERKE CLUB
APPLICATION FOR MEMBERSHIP
Name:__________________________________________ Phone: (____)
Spouse's Name (if applicable)
Address:_____________________________City___________________ZIP
Kennel Name (if applicable)_____________________________________________________
SMSC Member Endorsement ____________________________________________________
SMSC Member Endorsement ____________________________________________________
Membership Applying For: ( ) Individual ( ) Household ( ) Associate ( ) Junior Only
I Own _______Schipperkes _______Males _______Females
Do you breed your dogs?_______________ How many litters per year __________________
Are your dogs AKC registered? __________________________________________
Will you participate in fun matches, exhibitions and/or other activities the club may sponsor?________
I wish to join the SMSC because I am interested in:
__________ Learning about the breed __________ Breeding
__________ Conformation __________ Other
__________ Obedience
Please list all other dog organizations to which you belong:
____________________________________________________________________________
____________________________________________________________________________
I agree to abide by the Constitution & Bylaws of the SMSC and the rules of the AKC, and I am in good standing with the American Kennel Club.
Signature(s) __________________________________________________________________
Parent or guardian signature ___________________________________________________
If applicant is under 18 years of age.
Dues should accompany this application.
Individual - $30 Family - $35 Junior - $5 (no charge if child of club member)
Dates of meetings attended (leave blank):1_____________ 2____________
SOUTHERN MICHIGAN SCHIPPERKE CLUB
APPLICATION FOR MEMBERSHIP
Name:__________________________________________ Phone: (____)
Spouse's Name (if applicable)
Address:_____________________________City___________________ZIP
Kennel Name (if applicable)_____________________________________________________
SMSC Member Endorsement ____________________________________________________
SMSC Member Endorsement ____________________________________________________
Membership Applying For: ( ) Individual ( ) Household ( ) Associate ( ) Junior Only
I Own _______Schipperkes _______Males _______Females
Do you breed your dogs?_______________ How many litters per year __________________
Are your dogs AKC registered? __________________________________________
Will you participate in fun matches, exhibitions and/or other activities the club may sponsor?________
I wish to join the SMSC because I am interested in:
__________ Learning about the breed __________ Breeding
__________ Conformation __________ Other
__________ Obedience
Please list all other dog organizations to which you belong:
____________________________________________________________________________
____________________________________________________________________________
I agree to abide by the Constitution & Bylaws of the SMSC and the rules of the AKC, and I am in good standing with the American Kennel Club.
Signature(s) __________________________________________________________________
Parent or guardian signature ___________________________________________________
If applicant is under 18 years of age.
Dues should accompany this application.
Individual - $30 Family - $35 Junior - $5 (no charge if child of club member)
Dates of meetings attended (leave blank):1_____________ 2____________
Last Updated 3/1/2016 BY DP
