Membership Application

  Renewal Form

Date Submitted________________

Applicant(s) Name: ____________________________________________________________________

Address: _____________________________________________________________________________

City: ___________________________________________State____________Zip Code_______________

Phone: __________________________E-Mail________________________________________________

Occupation (optional): ___________________________________________________________________

Other clubs or affiliations: _________________________________________________________________

______________________________________________________________________________________

Dogs currently owned or co-owned by applicant(s). Include registered names and titles. Use back of form if needed.

Breed                     AKC Registered Name                     AKC Titles

1)

2)

3)

Are you a breeder? Yes________ No__________ If so, what breeds?_______________________________

I/We hereby agree to abide by the constitution and bylaws of the Croix Valley Tracking Club and the Rules and Regulations of the American Kennel Club.

Signature of Applicant(s)

Endorsed by: ________________________________Endorsed by: ________________________________

(CVTC member)                                                           (CVTC member)

Indicate the areas in which you would be willing to help at a match or trial:

_____Chairperson _____Judge _____Trial Secretary _____Head Tracklayer _____Tracklayer

_____Cross-Tracklayer _____Hospitality _____Gallery Control _____Fundraising Activities

_____Transportation for judges at trial or transportation for exhibitors and/or tracklayers at trial

Please mail completed application with $30.00 dues payable to: Croix Valley Tracking Club

Jenny Zimmerman - 780 Cottage Ave. W., - St. Paul, MN 55117

Thank you and welcome to Croix Valley Tracking Club! Visit our website at www.cvtclub.org

Remember!!!  Get a voucher of $15.00 to submit against your dues!  Just volunteer for a half day or 4 hours and receive your voucher from the person in charge.  Out of state members can help by preparing flyers, finding judges...just call a board member!