SFBWC Membership Application

Please print this form, fill it in and submit it to the address below.

Name(s):

 

 

Address:

City:

Zip:

 

Phone (include Area code):

 

Email address:

 

Names of children:

 

 

 

What are your areas of interest:

Check all that apply:

Pet / Companion

Obedience

Show

Agility

Tracking

Hunting

AKC Hunt Tests

Field Training

AKC Field Trials

WCA Field Ratings

Dog Walks

Water Fun Days

Dog "fun" game days

Breeding

Pet Therapy

 

 

Are there specific areas in which you would like to become involved?
Please check all that apply.

Rescue (organizing, fostering, transporting, etc.)

Raffles / fundraising

Dog Walk Leader / Organizer

Newsletter

Web Site

Photographer

Instructing (organizing, leading workshops, etc.)

Club Officer

Event Chairperson

Show Committee

Field Committee

WCA Rating Committee

 

Type of membership applied for:

Individual (1 vote) $16/year:

Family (2 votes) $24/year:

Associate (no vote) $16/year:

Lifetime $250 one time fee, $8/year to maintain voting right:

 

 

If you have a member sponsor please submit their name. If you have adopted a rescue dog you are eligible for a one year associate membership free of charge – just note “rescue” in this space. If you do not have a sponsor just note “none” in this space:

 

 

 

 

 

Submit this form with appropriate fees to:

SFBWC

3228 Hendricks Rd

Lakeport CA 95453