Membership Application
Dues are $35 for Individual Membership and $40 for a family Membership
MAKE CHECKS PAYABLE TO CFHRC. Mail completed
application and check to:
Alison Schultz, Secretary
Name:
____________________________________________________
Address:
_______________________________________________ E-Mail:
_______________________
City/
State: _______________________________ Zip Code: ________
Phone:
___________________________ (New Members):
Referred By: _________________________
Where did
you hear about this club? ________________________________________________
Breed(s) of
dogs you own ________________________________________________________
The club
newsletter is sent via e mail to save club funds. If you are unable to receive e mails and wish to receive your newsletter in
the mail please check here _______ Mail newsletter.
Release
Whereas the person(s) applying above desires to release
certain parties from any damages that may arise, directly or indirectly, as the
results of his/her participating in club activities offered by the Central
Florida Hunting Retriever Club, fully realizing the inherent danger in
any type of sporting event of this nature.
Now, THEREFORE, in consideration of being allowed to
participate in said activities, the person(s) applying above does by submission
of this form release and forever discharge the Central Florida Hunting
Retriever club, its officers, directors, members, participants, spectators and
all land owners they may be using from any and all manner of actions, causes of
such actions, claims, and demands, whatsoever, in law or in equity, which may
arise now or in the future because of, or pertaining
to, the person(s) applying above participation in any of its activities.
Agree____
Disagree____
(Signed) ____________________________
Are
you interested in improving your dog’s performance for: Upland Hunting
___Waterfowl Hunting ____
I do not
hunt but I am interested in getting titles on my dogs
_________
Training
Level of your dog(s) Puppy (under 6 months)____, Started (Beginning)_____, Seasoned
(intermediate-steady, doubles, easy blinds)_____, Finished (triples, difficult
blinds, advanced work)______.
Would you
like to be contacted by other members of the club in your area for training
practice outside of regular club events?
Yes ________ No ________
What other
events do you participate with your dogs.
Obedience/Rally
_____ Agility _____ Conformation ____
Other _______________________________________________________
In terms of
club events, which areas would you be interested in getting involved in (No
experience needed, we will teach you)
____Hunt Test
Marshal _____ Bird
Thrower _____
Equipment ______ Web
master ______ Newsletter
____ Game
Steward _____
Hospitality/Food/Raffle _____ Fund Raising
_____ Grounds Cleanup
____ Popper
Gunner _____ Hunt
Chairman ____ Live
Gunner
_____ Hunt Secretary
Please list
any skills or equipment you might be willing to volunteer to help the club:
_________________________
Examples:
vet, doctor, pens for birds, truck, reloading, trailer, and computer skills
All club
members are urged to also become members of the national HRC. To do so
complete the form found at HRC website and send to
UNITED KENNEL CLUB-HRC,
If a member
of the national HRC enter membership number ____________ Expiration date:
_________.