PRIMARY MEMBER: ____________________________________________________________________
Additional Members: ____________________________________________________________________
HOME ADDRESS: _________________________________________________________________
City ___________________ Prov._____________________ Postal Code________________________
PHONE NUMBER: (_______)__________________(home)
(______)_________________(office) - Optional
Fax Number: (_______)____________________________________________________
E-mail Address: __________________________________________________________
URL: (if applicable) ________________________________________________________
KENNEL NAME (if applicable): _______________________________________________
Kennel Tattoo Combination: _________________________________________________
Canadian Kennel Club Membership Number ( if applicable) __________________________
Person(s) with C.K.C. number:
I / We do hereby apply for an ASSOCIATE MEMBERSHIP in WRESSAA:
ASSOCIATE MEMBERS are those persons who are applying for
membership in WRESSAA for the first time, those who are out-of-province
(Non-Resident members) and/or between the ages of 8 and 17 years inclusive
(Junior Members). ASSOCIATE member applications will be presented to the general
membership before being presented to the Executive for final acceptance. The
prescribed ASSOCIATE membership fee must accompany this application form. An
ASSOCIATE MEMBER may not vote at any general meetings, stand for election as an
officer nor vote in any elections.
I We do hereby agree to:
|ASSOCIATE MEMBER $20.00
||Associate Family Membership $20.00
Have you ever been convicted on a charge of cruelty to animals?
Do you own I co-own an ENGLISH SPRINGER SPANIEL?
YES______________ NO___________ If yes, please give complete details -- Breeder, number of ESS, sex, age, spayed / neutered:
Contact / sponsoring WRESSAA member:_______________________________________
Where did you hear about WRESSAA: _________________________________________
Would you be willing to volunteer to help WRESSAA with activities and promotion of responsible breeding and pet ownership?
Please state your area of interests (pet, show, hunting, agility, etc.) and any other comments that you have. Thanks!
In applying for an initial Associate Membership, I/We understand and agree that in voluntarily submitting this application, that the general membership and Executive of WRESSAA is under no obligation to approve it.
Renewal Membership fees shall be payable by January 31st of each calendar year. If the membership is not paid by March 31 of the year, the membership shall be terminated. Renewal of membership shall be automatic upon submission of an application form and payment of the prescribed membership fee, unless challenged by an ORDINARY member, or already under suspension.
PRIMARY MEMBER: _________________________________________________________
Additional Members: _________________________________________________________
Please return application form, with membership fee cheque payable to Wild Rose English Spaniel Springer Association of Alberta ( or WRESSAA) to
FOR EXECUTIVE USE ONLY:
Membership approved: YES_________ NO___________
Date _____________ Name/Position _____________________
Copyright ©1997-2009 Lynn,
Anne & Barb Dorsay, Bondir English
Springer Spaniels for Wild
Rose English Springer Spaniel Association of Alberta.
All rights reserved.
Last revised: January 03, 2009