Gulfstream Rottweiler Club
Membership Application

EACH APPLICANT MUST SUBMIT  A SEPARATE APPLICATION and sign the Code of Ethics form.
  Please, print BOTH FORMS.  

Application will NOT be processed without the COE

NOTICE:  Your acceptance in GRC automatically subscribes you to a FREE MEMBERSHIP in Gulfstream GUARDIAN ANGELS Rottweiler Rescue, 
unless you decline this free membership to GGARR.    If you decline the GGARR membership, please INITIAL HERE _________________

NAME: Mr. Mrs. Ms.________________________________________________________________

Date of Birth of each appicant _______________________________________________________________________________

Address______________________________________City___________________________State ___Code___________

Telephone: (          )__________________        Kennel Name:________________________________

Email Address________________________________ Your Website ___________________________________________

Other Dog Clubs and/or Activities to which you belong and offices held: ______________________________________________________________________________________________________

Number of Rottweilers Presently Owned:_______
I am a licensed judge for the following breeds:__________________________________
I have registered one or more litters of Rottweilers with the AKC       YES         NO
I have exhibited Rottweilers in AKC sanctioned shows.                      YES        NO
I am a professional handler.                                                                YES        NO
I am affiliated with an animal related business.                                     YES         NO
If yes, please specify:___________________________________________

If accepted for membership in the GULFSTREAM ROTTWEILER CLUB, I would be willing to volunteer for the following:  
Show or Match Chairman/Asst____ Newsletter Editor/Asst____  Ring Steward____  Secretary/Board Member/Officer____ Other____

I hereby declare that I am in good standing with the American Kennel Club and agree to abide by the
 Constitution and by-laws of the GULFSTREAM ROTTWEILER CLUB. 
I acknowledge that I have read and will subscribe to the Code of Ethics printed on the reverse side of this application.

______________________________________________ _____________________
Applicant's Signature & Date

REGULAR MEMBERSHIP Individual $20.00 annually.   Family $25.00 annually, two members in same household (from Miami-Dade County and 
Broward County)  Voting Rights Must attend TWO meetings before being voted on.
 
ASSOCIATE MEMBERS    Individual or Family (two members in same household) $15.00 annually. Members who live outside the club's immediate area 
and cannot attend meetings.  Associate Members do not have voting rights but are entitled to all the benefits and awards of a regular membership.
PLEASE, ADD A DONATION TO RESCUE.  THANKS. 
Make check payable to GULFSTREAM ROTTWEILER CLUB and mail to:
Beatriz Jimenez
  9016 Winged Thistle Ct., Raleigh, NC 27617 (305) 903-5739 Fbjimenez@icloud.com 

August 2013