2010 Membership Application

Welcome to the Roaring Fork Kennel Club! To become a member, you will need to fill out this
form and submit it with the appropriate dues and attend a meeting. The membership will vote
on your application at this meeting. The club meets on the 2nd Thursday of each odd (Jan, Mar,
etc.) month at 7pm. You will receive one newsletter containing information on the location of
the next meeting.

Please return this form with the appropriate dues to:

Davy Lampman
789 Cactus Flats Rd.
Carbondale, CO 81623
970-963-1758

Applicants Names(s):___________________________________________Date: __________

Mailing Address:_____________________________________________________________
(H) Phone:_________________(W)Phone:_______________ Email:____________________

Family ($20.00) Individual ($15.00) Junior ($3.00)

Type of Membership (Please Circle one): New Renewal

Are you in good standing with the AKC? Yes No

What are your Canine Interests (check all that apply)?
Breeding _____ Tracking _____ Conformation _____ Obedience _____ Field _________
Agility ______ Lure coursing _____ Club support _______ Other___________________
What breed(s) do you have? ____________________________________________________

I have received and read the Code of Ethics. I have never violated them and can comply with them.
__________________________________________________________________________(signature/s)
Sponsor signature: ___________________________ Date Of Acceptance: ___________________
Ck to Treasurer: yes/no Initials: