STEP 1: Applicant Information. Please Print Clearly

Membership Application

Thank you for your interest in joining the Briard Club of America, Inc. Please provide the information requested below. A check in the appropriate amount must accompany this application. With your signature you agree to abide by the BCA Constitution, By-Laws, and Code of Ethics.

STEP 1: Applicant Information. Please print clearly.

Date______

Name(s)______

Kennel Name (if any)______

Address ______

City______

State ______Country______

Zip/Postal Code______

Telephone # ( )______

Email(s)______

Website ______

STEP 2: Questions for new applicants.

Occupation(s)______

If you have previously been a member of the BCA, what are the inclusive dates of your membership.______

Under what name(s) were you a member? ______

Do you currently own a Briard? Yes_____ No_____ (if Yes) How Many______For How Long______

Dog’s Registered Name ______

Call Name______

Dog’s Registered Name ______

Call Name______

Are there any other dogs in your household at present? Yes______No_____ If so, please list them, including breed.

Please tell us why you are interested in the Briard, and how you became interested in the breed.

Why do you wish to join the Briard Club of America?

What dog fancy activities interest you the most? Please Circle: Pet owner - Conformation showing - Herding

Obedience - Agility – Tracking – Therapy dog – Breeding – Judging – other ______

Are you or your family involved in the commercial pet industry? If so, how?

Do you have talent, training or special skills that you have to offer the club?

List other dog clubs you are affiliated with, including length of involvement and positions held.

STEP 3: Mark the box that applies and enclose fee

____ Joint Membership ($50) Two persons, same household

____ Individual Membership ($45)

____ Junior Membership ($10) Date of Birth ______(Non-voting, 10 to 17 years of age)

STEP 4: Sponsorship

I (we) agree to abide by the Constitution, By-Laws, and Code of Ethics of the Briard Club of America, Inc., and by the rules

of the American Kennel Club. I (We) understand that this form must be filled out completely, with all signatures and

accompanied by a check for the appropriate dues amount. For applications made after September 1, dues are covered for the next calendar year.

Signature: ______Print Name:______

This application must carry the endorsement of two (2) members in good standing with the BCA. The two (2) parties of a

Joint membership (two persons, same household) constitutes only one endorsement for sponsorship purposes.

We, the undersigned, endorse the applicant(s) named above for membership in the Briard Club of America.

Signature: ______Print Name:______

STEP 5: Return this completed application and dues check, made payable to Briard Club of America

Sandra De Laet, Membership Chair

807 S. Samuel St.

Charles Town, WV 25414-1450

571-271-1096

E-mail:

The Board of Directors requires a finite amount of time to consider all applications for membership. This usually takes about two months but may take as much as three to complete.

October 2013. Previous versions are obsolete.