CENTRAL CALIFORNIA LABRADOR RETRIEVER CLUB
                                     Membership Application

Date received__________________

Formed in 2004 to promote the multipurpose Labrador in Central California. Our
goal is to hold AKC licensed Specialty Shows and Hunting Retriever Trials in
Central California. Club events include field-training days, show matches, fund
raising events, seminars, public education and fun with our Labradors.

Annual Dues:
$35.00 Membership Individual        $45.00 Membership Family

(If you are applying after December 1rst, please contact
Chris Bunch for prorated
membership amount.)
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Name________________________________________________________
Address______________________________________________________
Home ph._________________ Email / Website: ________________________
Breeder [  ]        Judge [  ]         Exhibitor [  ]        Owner [ ] Check all that apply.
Please give a brief biography of your involvement with Labs, Labs owned and
areas of interest (field, show, obedience, etc.). Use the back of the application if
needed or attach an additional sheet.
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Please list areas in which you are interested in participating:

Show:  ________              Field: _________        Obedience: _________

Set up: ________ Trophy Donations: ________ Stewarding: _________

Raffle/Silent Auctions: _________   Public Awareness / Education: ________

Other: ________________________________________________________

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Prospective members signature below indicates agreement to abide by CCLRC’s
constitution and by-laws, breeders code of ethics and AKC rules and regulations.
Prospective members must be sponsored by two CCLRC members in good
standing.

Applicant
Signature__________________________________________________

Sponsor 1 Signature                                        Sponsor 2 Signature
________________________                        _________________________

Mail membership application, with check payable to CCLRC, c/o Pat Collom ,
14815 Garlock Lane, Prather, CA 93651. In the memo field indicate CCLRC
membership dues.
If you need a sponsor, please contact members of the board or the general membership and
request that they sponsor you.
Membership Application