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Border collie club of Northern California
Bccnc
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APPLICANT’S AGREEMENT I agree to: Comply with the attached Code of Ethics of the Border Collie Society of America, Inc. To support the Constitution and Bylaws of the Border Collie Club of Northern Calif. To strive to fulfill the Mission and Vision of the Border Collie Club of Northern Calif.
X___________________________________________________________________________________ Signature of Applicant (Application must be signed) |
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SPONSOR SIGNATURES Each application must be signed by two members in good standing of the club whom agree to support your application for membership.
1st Sponsors name:____________________________________________________________________
Sponsors signature:____________________________________________________________________
2nd Sponsors name:____________________________________________________________________
Sponsors signature:____________________________________________________________________ |
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APPLICANT’S INFORMATION
Last Name_____________________________ First____________________________ M.I.___________
Street Address Apt/Unit #_________________________________________________________________________________
City ________________________________________State _________________ZIP________________
Phone__________________________ E-mail Address________________________________________
Website______________________________________________________________________________
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Border Collie Club of Northern California www.BCCNC.org |
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MISSION STATEMENT: The mission of the Border Collie Club of Northern California is to protect the Border Collie through responsible breeding and ownership, to preserve the working attributes and intelligence of the breed, to prevent exploitation and abuse of the breed, and promote a spirit of encouragement and learning for the membership in all Border Collie activities, including but not limited to: herding, obedience, agility, conformation, tracking, companion dogs, and flyball.
VISION STATEMENT: Our vision is a united club that spans the interests and activities of all the membership. Our aim for tomorrow is a country where Border Collies are bred by responsible, knowledgeable breeders and are owned by a fancy well versed in the breed and committed to their care and betterment. We welcome all walks of life and envision a membership as diverse as the activities they are engaged in. With support and education offered to all in their equally worthy endeavors, we strive for our great hope: A future where no border collie goes unwanted. |
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MEMBER PROFILE Canine Information:
Breeds owned:______________________________________________________________________________
Number of years in Border Collies:__________Current number of Border Collies__________________________
Number of Border Collie litter Bred in the past 3 years_______________________________________________
Areas of interest:_____________________________________________________________________________ (agility, conformation, herding, obedience, etc; list as many as apply)
Title(s) achieved:_____________________________________________________________________________ (list highest for each category followed by number of titles at that level; OTCH-3 for example)
Year in which you last competed in an AKC event:__________________________________________________ |
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Year in which you last competed in any canine event:_______________________________________________
Personal Information:
Current occupation___________________________________________________________________________
Special skills:________________________________________________________________________________
Areas of club related activity in which you would like to become involved:_______________________________
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Officer_____________Board___________ Match Secretary___________ Education________ Rescue_________
Chair committee_________ Work on committee_____________ Raffles__________ Fund raise______________
Newsletter__________ Agility_____________ Obedience____________ Herding__________ Flyball__________
Conformation____________ Stewarding____________ Telephone committee___________ Publicity__________
Event planning_________________________ Other_________________________________________________
Are you an approved judge for any canine activity? _____________Which activity and what organization?____________________________________________________________________________________________ (Herding-AKC for example) |
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Please choose one of the following membership types:
__Single Membership ($25) __Household Membership ($35) __Junior ONLY Membership ($15)
Mail check and completed application to: Susan Joder, 134 Country Ranch Rd., Fernley, NV 89408 |
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DELIVERY OPTIONS Please choose one of the following options below on how you would like to receive BCCNC’s meeting notices and newsletters: __I wish to receive club meeting notices and newsletter via e-mail (e-mail address required) OR __I wish to receive club meeting club meeting notices and newsletter via regular mail (U.S. Postal Service) |
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Membership Signature Date
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