CENTRAL AROOSTOOK KENNEL CLUB
MEMBERSHIP       Founded in 1972     APPLICATION
“EXCELLENCE THROUGH SOUND BREEDING”

      Name of Applicant______________________________________________________________________________________
      Home Phone _______________ Work Phone_______________ E-Mail Address ___________________________________ 
      Mailing Address ___________________________________________ City ______________________ Zip ______________

      Breed(s) ______________________________________________________________ How Many Dogs? ________________
      Dog Name(s) __________________________________________________________________________________________

   What is your interest in dogs?
   (__) Breed Showing (__) Obedience (__) Breeding (__) Agility (__) Hunting/Field Trials
   (__) Other_________________________________________________________________

   Do You Offer: (__) Puppies (__) Dogs (__) Studs (__) Grooming (__) Boarding (__) Training
   (__) Other_________________________________________________________________

   What dog clubs have you or do you belong to?
  _________________________________________________________________________

   What was your involvement in the above clubs (i.e. positions held, activities participated in, etc.)
  _________________________________________________________________________
  _________________________________________________________________________

   As a club member, what do you expect from the club?
  _________________________________________________________________________
  _________________________________________________________________________

   As a club member, what can you offer the club? (__) Writing (__) Speaking (__) Drawing (__) Computer (__) Organizational
   (__) Other _________________________________________________________________

   As a MEMBER OF THE CENTRAL AROOSTOOK KENNEL CLUB, I do hereby agree to adhere to the Constitution, By-Laws, and
   Code of Ethics, of the CENTRAL AROOSTOOK KENNEL CLUB. If a situation arises that is not covered by the club rules, I will
   conduct myself in a manner in which I would like to be treated.

      Date of Application _______________ Signature of Applicant_______________________________________________

      Signature of Two CAKC Members (1) ____________________________________ Date ___________ 
                                                             (2) ____________________________________ Date ___________

   Membership dues are $15 for a Membership, $5 for each additional family member. To remain in good standing dues must be
   paid no later than March 31st. DUES MUST ACCOMPANY THIS APPLICATION.
   Make checks payable to: THE CENTRAL AROOSTOOK KENNEL CLUB, INC.

   CLUB TREASURER: Dotty Dudley, 231 Ladner Road, Easton ME 04740   (207) 488 - 6841