Membership Application

Thank you for your interest in becoming a member of the Winnegamie Dog Club. Membership meetings are held on the first Thursday of each month at 7:00 pm at the training center at 2043 Manitowoc Road, Menasha.
RM_Stats
Name^*
Name
Address

Address Line 1 ^*

Address Line 2

City ^*

State or Region ^*

Zip ^*

Phone Number^*
Email^*
Email
Occupation^*
Occupation
Number of dogs you currently own^*
Number of dogs you currently own
Breed(s) of dogs^*
Breed(s) of dogs
Do you breed dogs?^*
Yes

No

Do you breed dogs?
Do you intend to breed in the future?^*
Yes

No

Do you intend to breed in the future?
Have you ever been convicted of animal cruelty?^*
Yes

No

Have you ever been convicted of animal cruelty?
Have you ever been suspended from AKC privileges?^*
Yes

No

Have you ever been suspended from AKC privileges?
How did you find out about WDC?
Newspaper

Internet

Family/Friend

Other
Other
Reasons for joining WDC?
Reasons for joining WDC?
It is our members and their time volunteered that make WDC the great club that it is. Please list any special skills or interests that you have that may be useful for the club.
Skills
Please list any special skills or interests that you have that may be useful for the club.

1. Applicants must pay their dues and attend two out of four consecutive meetings.
2. At the first board meeting following the fulfillment of the attendance requirement, the applicant will be voted upon and approved with affirmative votes of the majority of the board members.
Household is one or two adults residing in the same household, as well as any children under age 18 in the same household.
Type of Membership
Select type of membership
Additional Household Members
Please List Additional Household Members
Correspondence Method^*
I (We) hereby apply for membership in the Winnegamie Dog Club, Inc. and agree to abide by its Constitution, Bylaws, Code of Ethics, and the rules and regulations of the American Kennel Club. Email Acceptance Agreement: As a member of the Winnegamie Dog Club, I (we) agree to receive club communications, including, but not limited to newsletter, dues notices and meeting notices via email. I will not hold the club liable should the notification be received late or not received due to circumstances beyond the club's control. I agree to notify the club as to any changes in email.
I agree
Agree to Method of Correspondence
Date^*
Date
Select a payment method^*

Pay Offline

Winnegamie Dog Club

Membership

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