New Member Application

The Lowchen Club of America New Membership Application

Please select a Membership Type below:
My Products *

Full Individual Membership $ 35.00

Full Family Membership $ 50.00

Associate Member $ 25.00

Junior Membership $ 20.00

Foreign Membership $ 50.00

Total $ 0.00
Primary Member Name *

First Name Last Name
Secondary member Name for Full Family Memberships

First Name Last Name

Address *

Phone Number *

Area Code Phone Number
E-mail *
Please tell us what breed(s) of dogs you own:
What breed(s) have you owned in the past?
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?

Yes No Unsure
If yes, please submit those numbers, dates, and circumstances?
Have you ever trained a dog in Companion/Performance classes?

Yes No Unsure
Have trained a dog to earn any AKC titles?

Yes No
Have you shown a dog to its AKC championship?

Yes No
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:

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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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Sponsors