Great Lakes CKCSC Membership Application

Dear Prospective Great Lakes CKCSC Member,

The Great Lakes Cavalier King Charles Spaniel Club, Inc. (Great Lakes CKCSC) exists for the love of Cavaliers! We are a local specialty club established to represent, protect, and promote the Cavalier King Charles Spaniel in Michigan.

As a group, we want to have fun, support each other, and celebrate our Cavaliers! We have varying experience in the CKCS breed; show breeders, conformation, agility and obedience exhibitors, pet owners, rescue owners, rescue workers, pet therapy dog owners, professional handlers and dog trainers. We have all come together for the love of the breed.

Download a pdf copy of the membership application

Objectives of the Club are:

  1. To encourage and promote quality in breeding of pure-bred Cavalier King Charles Spaniels and do everything possible to bring their natural qualities to perfection.
  2. To urge members and breeders to accept the standard of the breed as approved by the American Kennel Club as the only standard of excellence by which the Cavalier King Charles Spaniel shall be judged.
  3. To do all in its power to protect and advance the interests of the breed and to encourage sportsmanlike competition at dog shows, obedience and agility trials.
  4. To conduct sanctioned matches, specialty shows and obedience and agility trials under the rules and Regulations of the American Kennel Club.

 

In order to become a member of the club you need to do the following:

  1. Complete the Great Lakes CKCSC membership application, which must be signed by 2 current Great Lakes CKCSC sponsors (members in good standing).
  2. Send your completed application, along with a check to the Membership Chairperson. Your application will then be read at the next regular meeting of the full membership following submission of the application.
  3. Thereafter the applicant is required to attend at least two club-sponsored events (i.e. matches, regular meetings, etc.) prior to additional action.
  4. Once the applicant has complied by attending two club events, the Membership Chairperson will submit their application to the full membership at the next regular meeting where the application will be voted on.

If you are voted into the club, you will receive notification from the Club Secretary.

Membership eligibility and types are as follows:

  • Regular – Enjoys all club privileges including the right to vote and hold office.
  • Household – Allows for two (2) votes per household, persons 18 years and older.
  • Associate – Where the individual(s) is/are entitled to all privileges except voting and office holding. Application(s) should be filed with the Secretary but need not require sponsors or approval process applicable to prospective voting applicants; after a period of one (1) year the person(s) may apply for Regular or Household membership as outlined in the bylaws.
  • Honorary – Individuals pay no dues, not eligible to vote or hold office.
  • Junior – Open to all persons 10-17 years of age; cannot vote or hold office and may automatically convert to regular membership upon reaching their 18th birthday.

Dues:

  • Regular – $35.00 per person per year
  • Household – $45.00 per year
  • Associate – $25.00 per person per year
  • Junior – $15.00 per person per year

While membership is to be unrestricted as to residence, the Club’s primary purpose is to be representative of the breeders and exhibitors in its immediate area.

We hope you will join us and participate in various club activities.

Sincerely,

Teresa Silva
Great Lakes CKCSC, Secretary
email: dtwhiteriver@gmail.com

To apply online: please choose the membership type below for the appropriate form.

By Snail Mail: If you would like to submit your application via USPS, you can print a pdf version of the form from Great Lakes CKCSC Membership Application.

Please send your completed application and check to the Club’s Treasurer:

Make checks payable to: Great Lakes CKCSC, Inc.

c/o Teresa Silva * 3039 E. Yale Rd. * Hesperia, MI 49421

 

    Date of Application:

    Type of Membership : Regular Membership

    Name(s):

    Address:

    Telephone:

    Website:

    Note:
    The Great Lakes CKCSC, Inc. is currently using its website (www.greatlakesckcsc.org) along with email as its main source of communication with its members. I authorize the Great Lakes CKCSC, Inc. to provide me with club information, such as; upcoming club functions, website changes, Club newsletter, etc. via email.

    I agree to receive email correspondence from Great Lakes CKCSC, Inc.

    Email Address:

    Occupation(s):

    Name(s) of your Cavalier(s):

    Reasons why you wish to join the Great Lakes CKCSC, Inc.

    Please indicate areas of interest in which you are currently involved or intend to be involved in the next 6 months: (please check ALL areas that interest you)
    ShowingBreedingObedienceAgilityPetRescueJunior HandlingPet TherapyRally

    The applicant must have the application signed by 2 current Great Lakes CKCSC sponsors (members in good standing). This can occur at the meeting or prior to submission.

    Names of sponsors (two members in good standing), if available. The applicant must have two (2) current Great Lakes CKCSC sponsors (members in good standing). This can occur at the meeting or prior to submission.

    Sponsor 1:
    Sponsor 2:


    I, the undersigned, apply for membership in the Great Lakes Cavalier King Charles Spaniel Club, Inc. I have read and understood the objectives of the club. I agree to abide by the constitution & bylaws and by the rules and regulations of the Great Lakes CKCSC, Inc. and the American Kennel Club, Inc. now and hereafter made. I have read the Great Lakes CKCSC’s Ethical Guidelines, and agree to abide by them as a condition of my membership. I have answered all questions fully and truthfully. I hereby release the Great Lakes Cavalier King Charles Spaniel Club, Inc. of any liabilities for personal loss/injury, and/or loss/damage of any kind. I accept all responsibility for myself, family members and personal property. I certify that I have private insurance in case of accidental injury.

    Digital Signatures

    By entering your name in the boxes below, you are submitting your name(s) as a true and binding signature(s) for this agreement.

    (For Household membership, ALL adult members must digitally sign)

    Digital Signature 1:

    Digital Signature 2:


    If under 18, print name of child:

    Digital Signature of parent or guardian:

    By Checking this box you certify that all of the information submitted above is correct and you agree to the payment of the Regular Membership Dues at a value of $35 plus a $5 convenience fee for processing online payments to be paid via PayPal.


    Upon clicking the button above, you will be redirected to PayPal for payment of the registration fee + $5 convenience fee for online payments. If for any reason your membership application is denied, the registration fee paid during this transaction will be refunded.

      Date of Application:

      Type of Membership : Household Membership

      Name(s):

      Address:

      Telephone:

      Website:

      Note:
      The Great Lakes CKCSC, Inc. is currently using its website (www.greatlakesckcsc.org) along with email as its main source of communication with its members. I authorize the Great Lakes CKCSC, Inc. to provide me with club information, such as; upcoming club functions, website changes, Club newsletter, etc. via email.

      I agree to receive email correspondence from Great Lakes CKCSC, Inc.

      Email Address:

      Occupation(s):

      Name(s) of your Cavalier(s):

      Reasons why you wish to join the Great Lakes CKCSC, Inc.

      Please indicate areas of interest in which you are currently involved or intend to be involved in the next 6 months: (please check ALL areas that interest you)
      ShowingBreedingObedienceAgilityPetRescueJunior HandlingPet TherapyRally

      The applicant must have the application signed by 2 current Great Lakes CKCSC sponsors (members in good standing). This can occur at the meeting or prior to submission.

      Names of sponsors (two members in good standing), if available. The applicant must have two (2) current Great Lakes CKCSC sponsors (members in good standing). This can occur at the meeting or prior to submission.

      Sponsor 1:
      Sponsor 2:


      I, the undersigned, apply for membership in the Great Lakes Cavalier King Charles Spaniel Club, Inc. I have read and understood the objectives of the club. I agree to abide by the constitution & bylaws and by the rules and regulations of the Great Lakes CKCSC, Inc. and the American Kennel Club, Inc. now and hereafter made. I have read the Great Lakes CKCSC’s Ethical Guidelines, and agree to abide by them as a condition of my membership. I have answered all questions fully and truthfully. I hereby release the Great Lakes Cavalier King Charles Spaniel Club, Inc. of any liabilities for personal loss/injury, and/or loss/damage of any kind. I accept all responsibility for myself, family members and personal property. I certify that I have private insurance in case of accidental injury.

      Digital Signatures

      By entering your name in the boxes below, you are submitting your name(s) as a true and binding signature(s) for this agreement.

      (For Household membership, ALL adult members must digitally sign)

      Digital Signature 1:

      Digital Signature 2:


      If under 18, print name of child:

      Digital Signature of parent or guardian:

      By Checking this box you certify that all of the information submitted above is correct and you agree to the payment of the Household Membership Dues at a value of $45 plus a $5 convenience fee for processing online payments to be paid via PayPal. [recaptcha* recaptcha-127]


      Upon clicking the button above, you will be redirected to PayPal for payment of the $45 registration fee + $5 convenience fee for online payments. If for any reason your membership application is denied, the registration fee paid during this transaction will be refunded.

        Date of Application:

        Type of Membership : Associate Membership

        Name(s):

        Address:

        Telephone:

        Website:

        Note:
        The Great Lakes CKCSC, Inc. is currently using its website (www.greatlakesckcsc.org) along with email as its main source of communication with its members. I authorize the Great Lakes CKCSC, Inc. to provide me with club information, such as; upcoming club functions, website changes, Club newsletter, etc. via email.

        YesNo

        Email Address:

        Occupation(s):

        Name(s) of your Cavalier(s):

        Reasons why you wish to join the Great Lakes CKCSC, Inc.

        Please indicate areas of interest in which you are currently involved or intend to be involved in the next 6 months: (please check ALL areas that interest you)
        ShowingBreedingObedienceAgilityPetRescueJunior HandlingPet TherapyRally


        I, the undersigned, apply for membership in the Great Lakes Cavalier King Charles Spaniel Club, Inc. I have read and understood the objectives of the club. I agree to abide by the constitution & bylaws and by the rules and regulations of the Great Lakes CKCSC, Inc. and the American Kennel Club, Inc. now and hereafter made. I have read the Great Lakes CKCSC’s Ethical Guidelines, and agree to abide by them as a condition of my membership. I have answered all questions fully and truthfully. I hereby release the Great Lakes Cavalier King Charles Spaniel Club, Inc. of any liabilities for personal loss/injury, and/or loss/damage of any kind. I accept all responsibility for myself, family members and personal property. I certify that I have private insurance in case of accidental injury.

        Digital Signatures

        By entering your name in the boxes below, you are submitting your name(s) as a true and binding signature(s) for this agreement.

        (For Household membership, ALL adult members must digitally sign)

        Digital Signature 1:

        Digital Signature 2:


        If under 18, print name of child:

        Digital Signature of parent or guardian:

        By Checking this box you certify that all of the information submitted above is correct and you agree to the payment of the Regular Membership Dues at a value of $25 plus a $5 convenience fee for processing online payments to be paid via PayPal. [recaptcha* recaptcha-529]


        Upon clicking the button above, you will be redirected to PayPal for payment of the $25 registration fee + $5 convenience fee for online payments. If for any reason your membership application is denied, the registration fee paid during this transaction will be refunded.

          Date of Application:

          Type of Membership : Junior Membership

          Name(s):

          Address:

          Telephone:

          Website:

          Note:
          The Great Lakes CKCSC, Inc. is currently using its website (www.greatlakesckcsc.org) along with email as its main source of communication with its members. I authorize the Great Lakes CKCSC, Inc. to provide me with club information, such as; upcoming club functions, website changes, Club newsletter, etc. via email.

          YesNo

          Email Address:

          Occupation(s):

          Name(s) of your Cavalier(s):

          Reasons why you wish to join the Great Lakes CKCSC, Inc.

          Please indicate areas of interest in which you are currently involved or intend to be involved in the next 6 months: (please check ALL areas that interest you)
          ShowingBreedingObedienceAgilityPetRescueJunior HandlingPet TherapyRally

          Names of sponsors (two members in good standing)
          Sponsor 1:
          Sponsor 2:


          I, the undersigned, apply for membership in the Great Lakes Cavalier King Charles Spaniel Club, Inc. I have read and understood the objectives of the club. I agree to abide by the constitution & bylaws and by the rules and regulations of the Great Lakes CKCSC, Inc. and the American Kennel Club, Inc. now and hereafter made. I have read the Great Lakes CKCSC’s Ethical Guidelines, and agree to abide by them as a condition of my membership. I have answered all questions fully and truthfully. I hereby release the Great Lakes Cavalier King Charles Spaniel Club, Inc. of any liabilities for personal loss/injury, and/or loss/damage of any kind. I accept all responsibility for myself, family members and personal property. I certify that I have private insurance in case of accidental injury.

          Digital Signatures

          By entering your name in the boxes below, you are submitting your name(s) as a true and binding signature(s) for this agreement.

          (For Household membership, ALL adult members must digitally sign)

          Digital Signature 1:

          Digital Signature 2:


          If under 18, print name of child:

          Digital Signature of parent or guardian:

          By Checking this box you certify that all of the information submitted above is correct and you agree to the payment of the Junior Membership Dues at a value of $15 plus a $5 convenience fee for processing online payments to be paid via PayPal. [recaptcha* recaptcha-809]


          Upon clicking the button above, you will be redirected to PayPal for payment of the $15 registration fee + $5 convenience fee for online payments. If for any reason your membership application is denied, the registration fee paid during this transaction will be refunded.

            Date of Application:

            Type of Membership : Honorary Membership

            Name(s):

            Address:

            Telephone:

            Website:

            Note:
            The Great Lakes CKCSC, Inc. is currently using its website (www.greatlakesckcsc.org) along with email as its main source of communication with its members. I authorize the Great Lakes CKCSC, Inc. to provide me with club information, such as; upcoming club functions, website changes, Club newsletter, etc. via email.

            I agree to receive email correspondence from Great Lakes CKCSC, Inc.

            Email Address:

            Occupation(s):

            Name(s) of your Cavalier(s):

            Reasons why you wish to join the Great Lakes CKCSC, Inc.

            Please indicate areas of interest in which you are currently involved or intend to be involved in the next 6 months: (please check ALL areas that interest you)
            ShowingBreedingObedienceAgilityPetRescueJunior HandlingPet TherapyRally


            I, the undersigned, apply for membership in the Great Lakes Cavalier King Charles Spaniel Club, Inc. I have read and understood the objectives of the club. I agree to abide by the constitution & bylaws and by the rules and regulations of the Great Lakes CKCSC, Inc. and the American Kennel Club, Inc. now and hereafter made. I have read the Great Lakes CKCSC’s Ethical Guidelines, and agree to abide by them as a condition of my membership. I have answered all questions fully and truthfully. I hereby release the Great Lakes Cavalier King Charles Spaniel Club, Inc. of any liabilities for personal loss/injury, and/or loss/damage of any kind. I accept all responsibility for myself, family members and personal property. I certify that I have private insurance in case of accidental injury.

            Digital Signatures

            By entering your name in the boxes below, you are submitting your name(s) as a true and binding signature(s) for this agreement.

            (For Household membership, ALL adult members must digitally sign)

            Digital Signature 1:

            Digital Signature 2:


            If under 18, print name of child:

            Digital Signature of parent or guardian:

            By Checking this box you certify that all of the information submitted above is correct [recaptcha* recaptcha-724]


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