WEIMARANER ASSOCIATION OF CANADA
MEMBERSHIP APPLICATION

NAME:___________________________________________________
NAME:___________________________________________________
Family Membership: (Please give full name of the adult family members seeking approval)
ADDRESS:________________________________________________
	      ________________________________________________
	      Postal Code:______________________________________
TELEPHONE:	Home:_________________Work:___________________
			Fax:___________________ email:_____________________________
NAMES OF CHILDREN UNDER 18: ____________________________________________
___________________________________________________________________________

YOUR REGISTERED KENNEL NAME (if applicable):_______________________________
YOUR CKC MEMBERSHIP NUMBER(S) (if applicable):_____________________________
YOUR TATTOO COMBINATION (if applicable):___________________________________
REGISTERED NAMES OF DOGS:_______________________________________________
____________________________________________________________________________

Family Membership - $25   (     )		Single Membership - $18 (     )

PLEASE CHECK THE FOLLOWING AREAS OF INTEREST:

AGILITY (     )  CONFORMATION (     ) FIELD (     ) OBEDIENCE (     ) TRACKING (     )

NAME OF SPONSORING MEMBER:____________________________________________

I/We hereby agree to adhere to the Constitution of the Weimaraner Association of Canada and the Code of Ethics of the Weimaraner Association of Canada provided to me/us along with this application form.

DATED at ______________________this_________day of ________________/__________
			(Town)			(day)			(Month)	(year)

	_________________________________________________________
	Signature of each adult seeking membership

	_________________________________________________________
	Signature of each adult seeking membership

PLEASE SEND THIS APPLICATION ALONG WITH CHEQUE PAYABLE TO THE 
WEIMARANER ASSOCIATION OF CANADA TO:
Wendy M. McKay,
4883 Torbolton Ridge Road, R.R.2,
Woodlawn, Ontario K0A 3M0
(613) 832 3223
(613)832-4577 fax
Email: membership at  weimaranercanada.org