Membership Application

Personal Information
Full Name:
Last			First			M.I.
Address:
Street Address						Apartment/Unit #

City					State	ZIP Code
Home Phone:	Alternate Phone:			( )
E-mail Address:		I agree to receive AHGA information by email Yes No
Breed (s) of Dog:
Please list 2 sponsors’ Names
Club Interest
What is your primary interest in AHGA? Conformation Lure Coursing Earthdog ---Agility Obedience Rally Field Trials --- Tracking ---Other How would you like to help AHGA? PR/Education Conformation Cmte Earthdog Cmte Lure Coursing Cmte Trophies/Ribbons Seminars --- Hospitality Other Interest in dogs as a (check all that apply) Breeder Judge Pro Handler Exhibitor Pet Owner
Membership Dues

$20 Regular Membership (open to all persons 18 years of age and older. Individual members in good standing are eligible to vote and hold office.)

$30 Family (open to two members residing at the same address. This membership includes holding office and voting privileges for the adult members, those 18 years or older. The two members shall be identified by name on the membership application form. All family members are entitled to club benefits.)

$12 Junior (membership consists of one person under the age of 18 years of age who is not entitled to vote but is entitled to all the other privileges. A parent or legal guardian must sponsor the individual and sign the necessary paperwork. Upon reaching the age of 18, a junior member may choose another type of membership. Any dues increase shall be waived until the next fiscal year.

Parent or legal guardian’s signature__________________________________________

$12 Associate Member (open to all persons 18 years of age and older. Associate members enjoy all benefits of a regular membership except they may not vote or hold office.

$20 Associate Family (open to all persons residing in the same household. Associate family members enjoy the same benefits of the family membership except they may not vote or hold office.)

Text Box: PO Box 4367
Palmer, AK 99645
www.akhoundgroup.com
bark@akhoundgroup.com

Paid____________

Dues are payable on or before the first day of January. Persons joining the Club after September 15 shall be exempt from paying dues for the remainder of the calendar year. No member whose dues are unpaid may vote. During the month of November the treasurer shall bill each member for the upcoming calendar year. Dues not paid by March 1^st shall be considered lapsed and will result in termination of membership.

I certify I will abided by the bylaws, rules, and decision of the Alaska Hound Group Association and will hold harmless the club and all persons connected wherewith in any capacity whatsoever from any all liability, costs, and expenses for any injury or damage to persons or property caused by any dog brought by me to training or other events held or sponsored by the Club.

07/19/10

Me Application

Personal Information

Club Interest

Membership Dues

		Membership Application