Membership requirements include:

• Fill out an application
• An application can be submitted without specifying the endorsers/sponsors.
• Attend two general meetings for introduction to the membership
  • Your application will be reviewed at two meetings, then voted on by membership. You are welcome and encouraged to attend any of our meetings.  For additional information please contact tbarnett@kc.rr.com
• Agree to abide by:
  •     the KCGRC’s constitution, by-laws, and code of ethics
  •     GRCA’s constitution, by-laws, and code of ethics
  •     the rules of the American Kennel Club

First Name
Last Name
Title
Organization
Occupation
Work Phone
Home Phone
FAX
Home Address
City
State
Zip
Business Address
City
State
Zip
E-mail
URL
Children	Age Name
Children	Age Name
Children	Age Name
Children	Age Name

What are your hobbies and interests?

Why are you or what made you interested in Golden Retrievers?

Do you have a memorable experience with Golden Retrievers ?

Would you be interested in Participating or gaining more information in any of the following areas?

Obedience                Field                             Health Agility                     Rescue                           Breeding
Tracking                  Pet Health & Ownership  Conformation  

Please give the following information on the dogs the own:

AKC registered name:

AKC number

Call Name:

Breed

Sex

Birthdate

Please list any other dog clubs in which you are a member:

Type of Membership:

	TYPE	Cost
	Individual	Yearly Dues $20.00
	Family	Yearly Dues $25.00

Do you know or were your referred by a current KCGRC member

Yes No   

If Yes members name: