Membership Application
BRANDYWINE GORDON SETTER CLUB
Name: ( ) Kennel name: ( )
Address: ( ) Telephone number: ( )
City, State, Zip ( ) Cell phone number: ( )
E-mail address: ( ) Your website address: ( )
If you would like any/all of the above data made available on the BGSC website, place a √ in the ( ) for each detail you wish listed.
Annual Dues (check one):
___ Single membership $15.00 ___ Family membership $20.00 ___ Junior membership (to age 18) $10.00
Please check all that apply to you:
___ [B] Breeder – Someone who has registered a litter within the past three years.
___ [E] Exhibitor – Someone who has handled a dog at an AKC-licensed event within the past two years.
___ [DO] Dog Owner – Someone who, although not actively breeding or exhibiting, is a dog owner of an AKC registered dog and
active in the club.
___ [J] Judge – Someone who is an AKC-licensed Judge.
If you have entered a dog in an event in the past, identify the type of event entered. These need NOT be AKC-sanctioned or licensed
events. However, please indicate the sanctioning body, i.e. gundog federations, retriever, sight hound, agility…
___ [AG] Agility ___ [CH] Coon Hound ___ [ED] Earth Dog
___ [HE] Herding ___ [HT] Hunt Test ___ [LC] Lure Coursing
___ [FT] Field Trial ___ [TK] Tracking ___ Other (describe)
How long have you owned a Gordon Setter(s)? ___
Do you offer for sale (even occasionally): ___ Stud service ___ Puppies ___ Adult dogs
Please indicate the events of interest to you (check all that apply):
___ Agility ___ Conformation ___ Field Trials
___ Hunt Tests ___ Obedience / Rally ___ Rescue
___ Therapy visits ___ Tracking ___ Other (describe)
Please list on this application the dog(s) owned, giving the sire and dam of each dog owned (use the back of this application if you
need additional space):
Name of Dog Owned Sire of Dog Owned Dam of Dog Owned
I hereby apply for membership in the Brandywine Gordon Setter Club and agree to abide by its Constitution, By-Laws and
Regulations. In accordance with the provisions of the By-Laws, I enclose the appropriate membership dues in payment of my
membership fee for the current year.
Date: ____________________ Signature:_________________________________
Please make check payable to Brandywine Gordon Setter Club and mail to:
Karen Aaron, 742 Holly Drive, Stowe, PA 19464
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NEW Member applications (only) must be sponsored as follows:
Membership proposed by: Membership seconded by:
Please print name here:
Signature: