new application (page2)

POTOMAC HOUND CLUB

Membership Application (page 2)

Average Number of Dog Shows Attended Each Year :_______________________________________

Total Number of Litters Bred :_____________Total Number of Champions Bred:______________

Total Number of Champions Finished :_______ Current Number of Dogs Owned:____________

Dogs Owned:

Breed

Name

AKC #

1

 

 

2

 

 

3

 

 

4

 

 

5

 

 

6

 

 

7

 

 

8

 

 

9

 

 

10

 

 

Litters Bred:

Breed

Date Whelped

Litter #

1

 

 

2

 

 

3

 

 

4

 

 

5

 

 

 

Shows Attended:

Show/Date

 

Show/Date

 

Show/Date

 

Show/Date

 

Show/Date

 

Show/Date

 

Show/Date

 

Show/Date

 

Show/Date

 

Show/Date

 

 

SPONSORS

SPONSOR #1:___________________________SIGNATURE:_________________________DATE:________

                                    (PRINTED NAME)

SPONSOR #1:___________________________SIGNATURE:_________________________DATE:________

                                    (PRINTED NAME)

I submit my application to the PHC and, if approved, will abide by the PHC Constitution and By-laws.   SIGNATURE:_____________________________________________DATE:_________________________

__________________________________________________________________________________________

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