Kooiker Club of the United States

Membership Application

Memberships are good for one calendar year

June ^1st through May ^31st

RENEWAL DUES ARE DUE BY June ^1st. Dues must be received by June ^1st in order to remain a member in good standing for the current year. Renewal dues received after June l^st will put members status back to “new member” status with no voting privileges until the following Club year’s renewal.

Name #1: ______________________________________________________________

Name #2 :______________________________________________________________

Address: _______________________________________________________________

City: _______________________________ State: ________ Zip: _____________

Home Phone #: ___________________________ Fax:__________________________

Email: __________________________ Website Aaddress: ______________________

Please include full name of your Kooiker(s) and any titles (call name also if you wish).

Dogs Name:__________________________________________/_________________

Dogs Name:__________________________________________/_________________

Dogs Name:__________________________________________/_________________

Dogs Name:__________________________________________/_________________

Dogs Name:__________________________________________/_________________

(If you have more than five Kooikers, please continue listing them on the back of this form)

Memberships are $10.00 for the year

Canadian Residents please add $1.00 for S/H of the newsletter

All other countries add $6.00

Are you interested in becoming active in the Club? YES ____ NO ____

If yes, Include what you are interested in participating in:

Officer _____ Publicity ____ Rescue ____ Newsletter_____ Other_____

Check below all activities you are now OR have been involved with:

Hunting _______ Tracking ________ Obedience _______ Conformation _______

Field Trials ______ Hunting Retriever Trials _______ Flyball ________

Agility _______ Other______

Do you belong to any other club or organization? ___________ List:

THANK YOU FOR your Membership and Support of the Kooiker Club (USA)!

By signing and returning this form, the applicant(s) agree to abide by the following:

CODE OF ETHICS

Kookier Club of the United States

1. I subscribe to the purpose of the Kooiker Club (USA) and will abide by any rules set down by the Club.

2.I will acquaint myself with the Kooiker approved Breed Standard, and with principles of good health and grooming for the bred.

3. I will exhibit sportsmen like conduct which will reflect on me and on the breed at all competitions and will encourage others to do so. I will refrain from public criticism and malicious degrading of others and their dogs.

4. I will ensure humane treatment, including proper feeding, maintenance, health care and training, for all my animals and will encourage others to do the same.

5. I will commit myself to continuing education in matters pertaining to the care and training of the Kooiker.

6. If I breed, I will strive to improve the Kooiker breed according to the Kooiker Breed Standard. I will conscientiously plan each breeding, choosing only parents of appropriate temperament, appearance and other desirable qualities.

7. I will become aware of genetic defects which can be harmful to the breed. When breeding, I will endeavor to select animals that will reduce the incidence of genetic problems while enhancing the positive attributes and abilities of the breed. I will be open with all persons interested in the welfare of the Kooiker and will discuss possible physical or temperament defects in my stock.

8. I will act responsibly in regards to all puppies produced by my breeding for the lifetime of the puppies.

9. I will never knowingly sell to, or place a Kooiker with unethical persons or those who would not provide proper and humane care to the dog. I will refuse to sell a Kooiker to any pet shop or to any wholesale dealer in dogs.

10. Should I become aware of the mistreatment, abuse, or need for relocation of any Kooiker, I will make every effort to be of assistance by notifying the breeder of the dog involved and the appropriate local authorities, and I will assist in any other manner in which I am able.

Date:_____________________________

_________________________________

SIGNATURE

Date:_____________________________

_________________________________

SIGNATURE

Checks should be made out to: Ellen Froot and received by June 1^st

(In US Funds)

Form MUST BE SIGNED by ALL Parties/Members

And mailed to:

Linda Culpepper

123 Sage

Fort Jackson, TX 77566

Email: lculpepper@houston.rr.com

RedGold Kooikerhondjes
Kerry & Dee Nichols
6570 Smiley Ferry Road
Grady, AL 36036
(334) 562-3801

 

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