Vancouver Island Lure Coursing Association

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Membership Application

Submitted by Chris on Mon, 04/27/2015 - 19:53

Individual: $15.00 per year Couple: $25.00 per year Junior: $5.00 per year
Incomplete or illegible applications will be rejected.
Applications will be automatically sent to Roberta Parish

Application fees should either be sent in cheque format to VILCA 655 Middlegate Road, Errington BC V0R 1V0 and will be handled by Roberta Parish or e-Transferred to Roberta Parish to robby.vilca@gmail.com

Name *

CKC Membership # *

Mailing Address *

Telephone Number *

E-mail *

Additional Person

Name

CKC Membership #

Mailing Address

Telephone Number

E-mail

Do you, your immediate family, or members of your household presently own or have a registered sight hound? *

Yes

What breed/s do you have? *

Have you or members of your household ever been refused membership in, or been suspended by, any Kennel Club? *

Yes

Have you or members of your household ever been charged with and/or convicted of cruelty to, or neglect of, animals under the laws of any jurisdiction? *

Yes

Are you or members of your household employed by, or a member of, or affiliated with any group, club, organization or body whose aims and goals or terms of employment are incompatible with or inimical to the Constitution and Bylaws and/or Code of Ethics of the Vancouver Island Lure Coursing Association or the Canadian Kennel Club? *

Yes

What are your other areas of interest? i.e. obedience, tracking, etc. *

I/we certify that all the above statements are true and that I/we will abide by the Constitution and Bylaws of the Vancouver Island Lure Coursing Association and the Canadian Kennel Club. *

Yes

Name(s) of Sponsoring Member(s)

Sponsorship required for new members only

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Membership Application