Application for Membership
Name _____________________________________________________ Date ________________
Address ________________________________________________________________________
_______________________________________________________________________________
Phone (home, work, Cell): __________________________________email: ___________________
Check all activities in which you are interested:
Breed _________ Showing _________ Obedience _________ Breeding _________ All _________
Do you own a Boxer now? __________Have you ever bred a litter? __________
Would you be interested in serving on a committee, recognizing the fact that a club needs participation from
all of its members? __________
If elected to membership, do you agree to abide by the Club’s Constitution, by-laws and the rules of the
American Kennel Club? ________
Membership Category: (Please circle one)
1. $10.00 Single membership (18 years of age or older — one vote)
2. $5.00 Junior Membership (14-17 years of age with no voting privilege)
Sponsors (2) ______________________________ ______________________________
Applicant’s Signature ______________________________
Please return this application to your sponsor with the appropriate fee and it will be presented at the next scheduled meeting.