New Member Application

What type of Membership are you seeking? Please be aware that ballots for voting will be sent to the address provided. Byliions and Headlions will be sent via email. Bylions and Headlions will only be provided by part mail for members who do not have email access*
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Full Individual Membership$35.00

Full Family Membership$50.00

Associate Member$25.00

Junior Membership$0.01

Foreign Membership$50.00

Total $0.00
The Lowchen Club of America New Membership Application

Please select a Membership Type below:
Primary Member Name*

First NameLast Name
Secondary member Name for Full Family Memberships

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Please indicate which parts of your contact information you would like to share in the membership roster. Leaving options blank mean those items will not be shared. Only your name will be shared on the roster.

AddressPhoneSecondary PhoneEmail
Please tell us what breed(s) of dogs you own:
What breed(s) have you owned in the past?
Please list the registered names of the Lowchen you currently own or co-own. If co-owned, please indicate who you co-own the dogs with.
Please list the registered names of the Lowchen you own or co-own in the past. If co-owned, please indicate who you co-own the dogs with.
Which dog clubs do you belong to?
Have any of your dogs had a litter?
Are you, or any affiliate, in any way professionally connected with dogs? (Breeding a few litters does not in this case constitute professionalism) What is the affiliation?
Do you, or any affiliate, currently hold or in the past held, a license to deal in dogs either local, state, or federal?

YesNoUnsureOther
If yes, please submit those numbers, dates, and circumstances?
Have you ever trained a dog in Companion/Performance classes?

YesNoUnsureOther
Have trained a dog to earn any AKC titles?

YesNoOther
Have you shown a dog to its AKC championship?

YesNo
Please list your interest in the world of purebred dogs:
If approved for membership, please list your area of interest you want to volunteer to work within the club:
Sponsors

Full Membership applicants are required to have two sponsors. The membership chair will contact the sponsors for the letters of recommendation. Sponsors must have be members of the LCA in good standing for at least two years.

Please list 2 Sponsors who meet the criteria mentioned above:

	Full Name	Address	Contact Number	Email Address
1
2

Upload Your Sponsor's Letter of Recommendation Here:

Browse Files

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By clicking SUBMIT, I verify that I am the Primary applicant named on this application. I agree to abide by all code of ethics and The Lowchen Club of America rules.
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The Lowchen Club of America New Membership Application

Sponsors