RHODESIAN RIDGEBACK FANCIERS

APPLICATION FOR MEMBERSHIP

Name: _____________________________________________________________________________________________________

Address: ___________________________________________________________________________________________________

City: ______________________________________ State: ____ Zip Code: ___________ Home Telephone #: _________________

E-mail Address: _______________________________________________ Work/Cell Telephone Number: ______________________

I own/co-own the following Rhodesian Ridgebacks**:

Dog #1 ÿ Male ÿ Female Registered Name:_____________________________________________________________________

Call Name: ___________________________________________AKC Registered Number: _________________________________

Dog #2 ÿ Male ÿ Female Registered Name:______________________________________________________________________

Call Name: ___________________________________________AKC Registered Number: _________________________________

Dog #3 ÿ Male ÿ Female Registered Name:______________________________________________________________________

Call Name: ___________________________________________AKC Registered Number: _________________________________

Dog #4 ÿ Male ÿ Female Registered Name:_____________________________________________________________________

Call Name: ___________________________________________AKC Registered Number: _________________________________

** Please list additional dogs on separate sheet.

Please include the following information about yourself:

How did you hear about Rhodesian Ridgeback Fanciers?

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Are you a member of any other dog clubs or animal organizations? No / YES, please list: ____________________________________

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Are you in good standing with The American Kennel Club? Yes / NO, reason: _____________________________________________

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Have you ever been expelled from a dog club? No / YES, reason: ______________________________________________________

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What are your particular dog activity interests (please check all that apply):

ÿ Conformation ÿ Obedience ÿ Agility ÿ Lure Coursing ÿ Tracking ÿ Therapy ÿ Public Education ÿ Rescue

Are you willing to support the activities checked with your time and participation? Yes / NO, reason: ___________________________

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Are you a Breeder? No / YES. Please indicate number of years as a breeder and list number of AKC Registered Litters within the last three (3) years and Breed(s). Use additional sheet of paper if necessary.

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RHODESIAN RIDGEBACK FANCIERS

APPLICATION FOR MEMBERSHIP cont’d

Household Members Names & Relationship (please state children’s age(s)): ______________________________________________

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Other Pets (not RRs): _________________________________________________________________________________________

I agree to abide by the rules of the American Kennel Club, and by the Constitution and bylaws of the Rhodesian Ridgeback

Fanciers. I have read a copy of the Club’s Code of Ethics and agree to abide by the same. I am over 18 years of age and in good standing with the American Kennel Club.

PRINTED NAME: ____________________________________________________________________________________________

SIGNATURE: ________________________________________________________________________________________________

DATE: _____________________________________________________________________________________________________

Annual Dues:

ÿ $15.00 Voting Member residing within San Diego County

ÿ $10.00 Non-Voting Member residing outside San Diego County

Please submit this application and dues payable in U.S. funds to “ARRF”, mailed to:

Annette Reid
2802 Palomino Circle
La Jolla, Ca 92037-7066

The above applicant will support the goals of the Aztec Rhodesian Ridgeback Fanciers, and can positively contribute his/her talents to the club and to the breed in the following ways:

___________________________________________________________________________________________________________

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Sponsor Name: _____________________________________________________________________________________________

Sponsor Signature: __________________________________________________________________________________________

Sponsor Name: _____________________________________________________________________________________________

Sponsor Signature: __________________________________________________________________________________________