Membership Application
Single $25.00____
Family $30.00___




Phone__________________ Email______________________


DOGS - (Please use the back of this sheet for multiple listings)

Please list the areas that you are interested in participating with your Flat Coat.

 Conformation___  Obedience___  Agility___
 Hunt Tests___  Field Trials___  Tracking___
 Fun Days___  Other________________  

 This club will only exist because of the volunteer efforts of the membership. Your help is needed and appreciated to keep this organization in existence. Please indicate where you are willing to serve or skills you can contribute…

___Contact Person
 Other Talents:
(Please List)__________

I hereby agree to abide by the Rules and By-Laws of the Southern Skies FCRC

Signed:_____________________________________________ Date:__________

Please mail to: Carol Cassidy, 1636 Wakefield Drive, Brandon, Fl 33511

Print and mail this form. For a Word version, click below
SOUTHERN SKIES Application.doc