On-line Non Voting Application - Havanese Fanciers of Canada

Personal and Reference Information

Name *

First

Last

Email *

Please fill in the information below and submit. Your application will be forwarded to the membership committee for review. If you have any questions please contact membershiphfc@googlegroups.com

Phone Number

Type of Membership

Non Voting - Canadian Adult
Non Voting Foreign - Non Canadian Adult
Non Voting Junior (under 18 years of age)

Please indicate which type of membership you are applying for

For Foreign Application Only

Please tell us a little about yourself and why you are interested in being a non Canadian member of the HFC

Junior Membership

I am applying for a junior membership, will have my own personal email address and will comply with all club rules. Please type in your signature below

Parental or Guardian Consent for Junior Member

I am the parent or the legal guardian for the Junior Member applying in this application. I agree that I have read and understand the requirements of the HFC club.

Website / URL (if you have one}

Name of Sponsor *

First

Last

Please enter the name of your sponsor

Email of Sponsor *

Please enter the names of your 2 references *

First

Last

Name *

First

Last

Please drag and drop or upload your sponsor letter and your 2 reference letters

Click or drag files to this area to upload. You can upload up to 5 files.

Sponsor and reference letters

Brief Bio

PERSONAL BIO and ACHIEVEMENTS (Please give a brief history of your involvement with Havanese along with a brief bio on yourself. List conformation championship and versatility or obedience titles you have earned in the past five years)

Information on Ownership and Dogs Owned and Co-Owned

I have owned havanese for

Less than two years
2 to 5 years
5+ 10 years
more than 10 years

Name and Registration number of all your Havanese

Please enter the name and registration number for all owned and co-owned dogs. One per line

Name and Registration number of all breeding dogs

Please enter the name and registration number for all owned and co-owned breeding dogs. One per line

Name and Registration number of all breeding dogs

Please enter the name and registration number for all owned and co-owned breeding dogs. One per line

Name and Registration number of all breeding dogs

Please enter the name and registration number for all owned and co-owned breeding dogs. One per line

Name and Registration number of all breeding dogs

Please enter the name and registration number for all owned and co-owned breeding dogs. One per line

If you have additional owned or co-owned stud or breeding dogs, please list below One per Line

List any additional owned or co-owned breeding dogs one per line

Types of Activities

Please select all that apply by scrolling through the list

Other Activities

If you listed Other list below

Agreements

please read carefully all agreements below

Agreements of Membership

Yes

I agree to be involved with the Club and to do at least two activities per year that contribute to the Club. This might include one or more of the following: attending meetings, participating on one of the committees, sending in submissions for the newsletter or website, donations or participation in the Rescue or other fundraising activities, planning, running or assisting in a Club sanctioned event, donation to the awards-trophy-prize-raffle speciality fundraiser, volunteering time or talent , Rescue foster or pick up volunteer, or other.

Agreement

Yes

I have read, understand and agree to uphold the HFC Code of Ethics, Bylaws and Code of Conduct.

Agreement

Yes

I agree to follow all rules of the CKC in regards to registration, breeding, and code of conduct

Other Club Affiliations

Yes
No

I am a member of another Havanese Club, All Breed Club, or other canine organization? (If yes, Please list on line below other affiliations/memberships including any board/committee positions held and length of membership

List of Other Club Affiliations

List other club memberships and length of time position/membership held

Electronic Signature

I declaire that all the above information is correct. Please type your name in full as your signature

Optional Info on Health Testing

Click or drag files to this area to upload. You can upload up to 17 files.

If you have done health testing on any of your dogs, please list what health testing you have done. HFC guidelines only specify health testing if you are breeding or plan to breed. If you are breeding or plan to breed you need to apply for voting membership.

Use this area to drag any other information you would like

Click or drag files to this area to upload. You can upload up to 13 files.

If your sponsor has not visited your house please include pictures of your dog area, their sleeping area, grooming area and whelping areas. This is NOT required unless your sponsor has not visited your house

Electronic signature

I declare that all information in this form is correct