| .National
Capital Bearded Collie Club Membership Application
Name___________________________________________ Date of Application:
__________
Address _________________________________________________________________
City _____________________________________________ State _____ Zip
____________
Phone ___________________ Email address:
________________________________________
*If you have a website, please put URL here:
____________________________________________________
Where/when/how did you first learn about the Bearded Collie?
__________________________________________________________________________________________
__________________________________________________________________________________________
Do you currently own a Bearded Collie? Yes / No Names and ages of your
beardies:
Call Name Registered Name
Breeder/
Kennel
DOB Rescue/ Rehome?
____________ __________________________ _____________ _____ Y / N
____________ __________________________ _____________ _____ Y / N
____________ __________________________ _____________ _____ Y / N
____________ __________________________ _____________ _____ Y / N
Do you own any other dogs? If so, name and what breed?
_________________________________________
Tell us about any other goals and accomplishments you may have by
checking the boxes below.
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** As
beardie enthusiasts, We are all interested in issues relating to our
dogs as pets and companions. |
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Show |
Agility |
Herding |
Rally |
Obedience |
Therapy |
Tracking |
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Competing or Titled |
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InTraining |
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Yes,
tell me more! |
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Not Interested |
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Do you belong to other dog clubs? Yes/No If
so, which ones? _____________________________________
What do you hope to gain by becoming a member of the NCBCC?
_______________________________________________________________________________________
***You will have the opportunity to choose a membership type and two
sponsors prior to completing your membership requirements. Please do not
send dues at this time.
I (we) wish to apply for membership in the National Capital Bearded
Collie Club. I (we) agree to abide by its constitution, by-laws and code
of ethics and by the rules of the American Kennel Club.
Applicant Signature: ____________________________ Co-Applicant
Signature: ________________________
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