Membership
Download the membership application in MS Word or PDF format.
I
hereby make application for membership in the Northern
Virginia Collie Club. I agree to abide by the bylaws of the
club and the Code of Ethics of the CCA and to
conscientiously promote the interest in Northern Virginia
Collie Club to the best of my ability.
Dues: $15.00 annual fee due on November 1 each year. Couples
$25.00
Make all checks payable to Northern Virginia Collie Club
Applicant’s Information:
Name: ____________________________________________
Address:____________________________________________
City, State, Zip______________________________________
Email address: ________________________________________
Phone:
(H)___________________(W)__________________Cell_________
Occupation: ____________________________________________
How long in Collies ______________ Number of dogs
________________
Number of Collies ______________________
What made you interested in collies? _______________________________________
_______________________________________________________________
Do you breed? ________________ Number of litters/yr _________________
Do
you show in conformation/performance? ________________
If
yes, which events do you participate?
____________________________
Do you participate in non-AKC activities? ______________________
If
yes, which ones?__________________________________
Do
you do therapy work with your dog?
__________________________
Do
you have children interested in junior handling
________________
Other Hobbies___________________________________
What activities would you like to participate in (match
planning, show planning, education, other)
___________________________________
CCA member ?________________
Other clubs that you belong
to?_____________________________________
By
joining NVCC what do you hope to learn?
____________________________
What activities would you like to see the club offer?_____________________________
Referred by: _____________________________
Sponsor Signature ______________________
Applicant’s signature_________________________ Date:
________________
___________________________________________________________________________
For Official Use Only:
First Reading_________________ Second
________________________________________________________________