Australian Shepherd Club of Central Florida (ASCOCF)

Membership Application Form

Date * +

Membership Type *

New Member Application

Membership Renewal (Include Name, Signature & Renewal Type)

Junior Member Application - Non-voting

Associate Member - Non-voting

Name(s): *

Address: *

Address 2:

City: *

State/Province: *

Zip/Postal Code: *

Phone: *

Email Address: *

Email Address (additional email - Household membership):

Preferred way to contact *

Phone

Email

Text

Any

Areas of Interest: *

Member of USASA: *

Number of Dogs: *

Breed(s) of dogs owned: *

Please give a brief history of your dog related activities: *

Club communications and updates are posted in the Facebook Group ASCOCF-Membership. Please include your Facebook account name so we can add you to the group: *

If you prefer to receive ASCOCF notifications via email please check here: *

Email Notification

I agree to abide by the Constitution, By-laws and the Code of Ethics of the Australian Shepherd Club of Central Florida and am in good standing with the American Kennel Club

Signature of Applicant *

clear

Signature of Co-Applicant

clear

Kennel Name

Sponsor 1 *

Sponsor 2 *

Payment Type: *

Check

PayPal

Please Check: *

Individual Membership ($20.00)

Household Membership ($30.00)

Junior Membership - Non-voting ($10.00)

Associate Membership - Non-voting ($10.00)

Please Check: *

Individual Membership ($20.00) - ($30.00 after FEB 1)

Household Membership ($30.00) - ($40.00 after FEB 1)

Junior Membership - Non-voting ($10.00) - ($20.00 after FEB 1))

Associate Membership - Non-voting ($10.00) - ($20.00 after FEB 1))

Memberships are renewed yearly in January. At $10:00 late fee will be applied after February 1 with a grace period of one month until March 1. Payment must accompany application (check or PayPal) US funds only. Dues are not tax deductible. All new applicants and current members must attend one General Meeting per year to retain active voting status.

“B” Breeder-someone who has registered a litter (AKC) within the past 3 years.

“E” Exhibitor-someone who has handled a dog at an AKC- licensed event within the past 2 years.

Please note in which areas you have handled:

“DO” Interested Dog Owner-someone who, although not actively breeding or exhibiting, is a dog owner of an AKC registered dog and is active in the club.

“J” AKC licensed judge

Pet	Breeding	Obedience	Conformation	Herding
Search & Rescue	Tracking	Agility	Judging	Handling
Ring Steward	Aussie Rescue	Dock Diving	Barn Hunt	Rally