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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
Breeding
Breeding
Stud Service
Showing
Junior Handling
Handling
Rally
Agility
Versatility
Obedience'
Judging
Other - Use Line Below
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
Submit