Leonberger Club of Ontario :   Online Membership Application Form

Online Membership Application Form

 

 

 

 

Thank you for your interest in the Leonberger Club of Ontario.  We look forward to receiving your application.

 

NOTE: A printable form can be found at this link If you have any problems with the online form or prefer to have a copy mailed or faxed to you, email us at  Secretary@LeonbergerClubOfOntario.com.

 

 

Fields with red text are REQUIRED to successfully submit the form

 

Your Name(s) :

Mailing Address :

 

City / Town

Province / State

 

Postal / Zip Code

Country

 

Main Telephone # : 

Day      Evening    Anytime

2nd Telephone # : 

 

Day      Evening    Anytime

 

E-mail Address :

Fax # : 

 
 

 

 

Are you a new member ?

No      Yes

Are you a member of the Canadian Kennel Club ?

No      Yes   CKC #

Are you a member of other dog clubs ?

No      Yes

    If Yes, please specify which clubs :  

 

 

Dog's  Name  (# 1 )

Male / Female

Age

Registration #

Neutered / Spayed

Obedience Training

 

 

Titles

e.g. CD, DD, WD

 

Dog's  Name  (# 2 )

Male / Female

Age

Registration #

Neutered / Spayed

Obedience Training

 

 

Titles

e.g. CD, DD, WD

 

Dog's  Name  (# 3 )

Male / Female

Age

Registration #

Neutered / Spayed

Obedience Training

 

 

Titles

e.g. CD, DD, WD

 

 

Please list additional dogs in the comments section below

 

 

Mouse click the boxes in front of any activities you have an interest in :       Volunteering

Agility

Backpacking

Carting / Drafting

Conformation / Showing

Grooming

Herding

Therapy Work

Tracking

Search & Rescue

Water Sports

Event Organization

Fundraising

Parades

Foster and/or Rescue

Other Volunteering

 

What is your availability for attending LCO Events & Meetings :

Saturdays               Sundays                Either Day

 

 

I/We hereby apply for membership in the Leonberger Club of Ontario and do certify that I/we are eligible for membership or are presently members in good standing of the Canadian Kennel Club.

 

 

I/We have never been found guilty of an offense by any humane society.  I/We hereby agree to abide by the By-Laws and Code of Ethics of the Leonberger Club of Ontario

 

 

Please type in your initials to act as a

signature for agreeing with the above statement

 

Today's Date

 

 
LCO Membership Fees

(as of January 1, 2013)

Single Membership

Family Membershp

International  ( Outside North America )

$ 35.00 Cdn. annually

$ 45.00 Cdn. annually

$ 55.00 Cdn. annually

   

 

Comments :  please add additional information here, if required.

   
   

   To prevent robotic spam :  Please check this box to confirm this form was filled out truthfully

        by a loving and caring human interested in becoming a member of the LCO.

 

 

Thank you for filling out the above information. 

Please review your responses above before submitting this form.

 

 

 

Are You Ready to Submit

Your Information ?

                                   .

   

 

 

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September 1st, 2015

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Leonberger Club of Ontario

Leonberger Club of Ontario