MEMBERSHIP APPLICATION
All items must be
completed. Mark “NA” for those not applicable
** Incomplete
applications will be returned **
Each member of a household must complete their own
application
**PLEASE
PRINT IN INK OR TYPE**
Date
Name
Address
City State
Zip
Home Phone E-Mail
Occupation_ Work Phone
Pug
Information:
Owner Number of Pugs currently owned? Number of years in Pugs?
Exhibitor
Conformation Obedience Agility Rally
Breeder Breeding experience: (I have / have not) had
a litter.
How many litters have you registered? ______
Do you have a kennel name? Yes No
If yes, what is it?
Is it registered? Yes No
General
Information:
• Are you now, or have you ever been
suspended from the privileges of the AKC?
Yes No
If
Yes, When and Why?
•
Have you been a NCPC Member before? Yes
No If Yes, what year (s)?
• Have you ever been suspended from
If
Yes, When and Why?
•
Have you ever applied to this or any Pug Club for membership and been denied?
Yes ___ No ___
If
Yes, When and Why?
• Are you now, or have you ever been a
member of any Dog Club? Yes____ No ____
If so, please state names of clubs,
dates of membership, offices held:
•
Are you an AKC approved Judge of any Breed? Yes ___ No ___ if yes, please list
dates and breeds:
•
Please provide the names of several people identified with our Breed with whom
you are acquainted:
•
How do you plan to help the Breed and the Club? Briefly describe your interest
in Pugs and your reasons for seeking
• I hereby apply for □ “Regular” or
□ “Associate” membership
(check one)
in the Northern
California Pug Club, and if accepted, I agree to
abide by the Club’s By-Laws, Code of Ethics,
and the Rules and Regulations of the American Kennel
Club.
• I have read, signed and enclosed a copy of the
NCPC Code of Ethics.
• I have enclosed my first year’s membership
dues.
Note: Club dues are twenty five dollars ($25)
per person per year for regular membership and twenty dollars ($20)
per person per year for associate
membership. Your first
year’s dues payment must accompany this application.
New members who have paid
dues during the last quarter of the year will be credited for a paid membership
for
that quarter and the next
year. Otherwise, annual dues are payable on January 1st of each
year.
Applicant’s Signature Date
Please make checks payable to “NCPC”
Mail your payment and application to:

In
the interest of the welfare of purebred dogs, The Northern California Pug Club
promotes the following care and breeding guidelines:
CONCLUSION
Nothing in this Code of Ethics should be
construed to be in violation of the rules and regulations of the American
Kennel Club or the Bylaws of the Northern California Pug Club.
Each
member must accept the responsibility to protect the interests of our breed by
conducting him/herself in a manner designed to reflect credit on him/herself,
the Pug breed and the Northern California Pug Club.
In
accepting membership in the Northern California Pug Club, I agree to be bound
by this Code of Ethics.
Applicant’s Signature
Print Name
CLUB ACTIVITIES
To apply for
Regular membership you must attend one Club meeting and either work at one NCPC
function or attend a second meeting; all within one year of submitting your
application for membership. You must sign the meeting roster sheet.
Date of first meeting attended:
Date of
second meeting or NCPC function worked:
If you worked
at a function, please complete the following:
1) Job done:
2) Person who assigned the job to you:
SPONSORS
(TWO NCPC MEMBERS IN GOOD STANDING MUST SIGN
EACH APPLICATION)
The following members of NCPC endorse me for
membership:
____________________ _______ __
_________________________________
Sponsor’s Signature Sponsor’s Signature
_________________ _________ ____________________________
Print Sponsor Name Print Sponsor Name
Please
Note: An application for
“regular” membership will be read at the first Club meeting following its
receipt. The applicant’s name and sponsors’
names will then be published in the next NCPC Newsletter indicating that he/she
has applied for regular membership in the Club.
Following the publication of a prospective member’s information in the
Newsletter, their application will be voted upon by secret, written ballot at
the next scheduled Club meeting. Affirmative votes by 3/4 of the Regular
members present and voting at that meeting shall be required to approve the
application.