application page | potomac-hound-club

POTOMAC HOUND CLUB (PHC)

Membership Application

Dear Prospective Member: Please review our club’s Constitution and Bylaws before

completing this application. Then provide the information requested below regarding your

dog ownership and breeding records. If your activity is extensive, you may either provide a

random sampling or include details on a separate page. Our bylaws require that you must

be sponsored by two PHC members who are in good standing and from two separate

households. Fill out and sign your application then obtain the signatures of your sponsors,

and mail it along with a check for your dues ($35.00 per person per year or $50.00 per

family/household per year) to the club secretary.

After your application has been received, your information will be published in the next

PHC Newsletter. PHC members may provide a written input to the PHC Board regarding

your application within thirty (30 days) of the Newsletter. The Board will then vote on your

membership at the next Board meeting, and a two-thirds majority is necessary for election

as a member. If denied, you may re-apply after six months. (PHC By-laws Article II, Section

3 Election to Membership). If approved, you will be notified via email followed by an official

welcome letter, a copy of the Club’s Constitution and By-laws, the current Club

Membership Roster, and a PHC pin.

Name:______________________________________________Occupation:_________________________

Address:_________________________________________________________________________________

Phone Number(s):________________________________________________________________________

Email Address:_____________________________________________FAX Number:________________

Breed:___________________________________Years in the Sport of Purebred Dogs:____________

Interest(s):_______________________________________________________________________________

Current Activity in Dogs (e.g., breeder, exhibitor, handler, judge):__________________________

__________________________________________________________________________________________

List other dog clubs (including parent clubs) in which you are/were a member, the dates,

and offices/positions held:

__________________________________________________________________________________________

Briefly describe your activities and accomplishments in the sport of purebred dogs:

__________________________________________________________________________________________

PHC MEMBERSHIP APPLICATION (PAGE 2)

Average Number of Dog Shows Attended Each Year:_______________________________________

Total Number of Litters Bred:_____________Total Number of Champions Bred:______________

Total Number of Champions Finished:_______ Current Number of Dogs Owned:____________

Dogs Owned:

Breed Name AKC #

Litters Bred:

Breed Date Whelped Litter #

Shows Attended:

Show/Date Show/Date

The Potomac Hound Club