Cape Cod Kennel Club, Inc.
Introductory Membership Application

Date: ________________

Name(s) ______________________________________________________________

Address ______________________________________________________________

City, State Zip _________________________________________________________

Telephone ___________________ Email ____________________________________

Breed(s) Owned: _______________________________________________________

If you are/have been a member of other canine clubs, list their names.

_____________________________________________________________________

Interests? Obedience __ Show Handling __ Agility __ Rally ___

Other ________________________________________________________________

Would you be willing to help with any of the following:

Shows/Matches __ Publicity __ Wherever Needed __

To be considered for membership, I (we) understand that I (we) will have to meet a three-event criteria (attendance at general meetings and/or assistance with designated events) within the next six months.

_____________________________________________________________________
Signature(s) of Applicant(s)

Send this completed application and $5 Membership Fee to:
Betty McAdams
867 Old Falmouth Road
Marstons Mills, MA 02648
(Make checks payable to Cape Cod Kennel Club, Inc.)

 Return to Membership

For Cape Cod Kennel Club Use Only

Date Received ____________________

Criteria Met: _________________________________________

1 ____________________ 2 _____________________ 3 ______________________