Associate Membership Application Questions?Denise ColerE-Mail Name Occupation Address City State ZIP Phone (Home) Phone (Mobile) Email Website Name and ages of Junior Handlers (17 years and under active in showing, training, etc.) Kennel Name (if any) Interests & Activities Are you a: (Check all that apply) Dog Owner Breeder Exhibitor Handler Trainer Judge Steward Other Do you exhibit in: (Check all that apply) Conformation Hunt/Field Tests Obedience Tracking Agility Other Dogs Owned (Complete for each dog you currently own or co-own) Dog 1 Full Name AKC# Date of Birth Titles Dog 2 Full Name AKC# Date of Birth Titles Dog 3 Full Name AKC# Date of Birth Titles Dog 4 Full Name AKC# Date of Birth Titles Please write a brief statement about your history with dogs, reasons for joining LRCSC, and what you would like to learn from, or contribute to, our club: Please list any other Club Memberships that you have (dog or otherwise) offices you have held, if any, and the number of years affiliated with them: LRCSC Activities & Committees Please check the areas of interest for which you would like to volunteer. You will be contacted by the appropriate chairpersons. Participation is mandatory should you want to become a FULL MEMBER. Main Areas of Interest: Conformation Hunt Tests Obedience Working Certificate Conformation Specialty B/OB Match Fun Day Set-Up / Take-Down Ring Steward Judge Field Hunt Test Working Certificate Training Days Thrower Gunner Marshal Judge Obedience Specialty B/OB Match Fun Day Set-Up / Take-Down Ring Steward Judge Committees you would like to serve on: Ways & Means Raffle Trophies Obedience Hospitality Historian Canine Good Citizen Equipment Publicity Judges Selection Special Programs Awards New Member Welcome Membership Legislation Website Special Talents: Signature & Agreement By typing your name below, you agree to the terms of the LRCSC application and verify the information provided is accurate. Print Name Digital Signature Date Submit Application 2026 LRCSC Board of Directors President: Ron Morelos Vice President: Michael Kovach Secretary: Lauren Bullock Treasurer: Denise Coler Directors: Deborah Lee, Diana Armison, Diane Matsuura, Sandy Forkert Please note: Your application will be sent directly to Denise Coler at coleriverlabs@cox.net. Membership dues are $30.00 for one year. Additional memberships for individuals residing at the same address may be added for an additional $5.00 a year. Share This ArticleShare on FacebookShare on XShare via Email
