Membership Application
Single $25.00____
Family $30.00___

Name______________________________________________

Address____________________________________________

___________________________________________________

Phone__________________ Email______________________

 

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

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…


 Committes:
___Events
___Constitution&By-Laws
___Newsletter
___Rescue
 Skills:
___Computer
___Writing
___Photography
___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

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