WRESSAA Membership Form

Please complete all applicable fields and use the "Submit Form" button at the bottom of this application to apply. If there is a problem with the form, please e-mail WRESSAA at Bondir@msn.com or visit http://www.bondir.com/WRESSAA/Form.HTM for a printable version of this form. After submitting the form, please remit a membership fee cheque (or money order) payable to Wild Rose English Springer Spaniel Association of Alberta or WRESSAA for the applicable fees to:

WRESSAA
P.O. Box 72101, GLPO
1600-90th Ave. S.W.
Calgary, AB T2V 5H9

Please note -- No memberships will be processed until the fees have been received. Thanks.

Please provide the following contact information:

Primary Member's Name
Additonal Member Name(s)
(if applicable)
Street address
Address (cont.)
City
Province/State
Postal code/Zip
Country
Home Phone
FAX
E-mail
URL
Kennel Name
(if applicable)
Kennel Tattoo Combination
CKC membership #
(if applicable)
CKC Member(s) Name

I/We do hereby apply for an:


ASSOCIATE MEMBERS are those persons who are applying for membership in WRESSAA for the fist 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.

ORDINARY MEMBERS are those persons, resident in the province of Alberta, who have been ASSOCIATE MEMBERS in the twelve (12) month period immediately prior to application for ORDINARY membership. The prescribed ORDINARY membership fee must accompany this application form. ORDINARY MEMBERS are entitled to vote at any meeting, stand for election as Officers or vote in any election.

Choose one of the following options:


How many people are applying for membership?:


This membership in WRESSAA is::


I/We do hereby agree to:

  1. Pay the membership fee as prescribed in the Standing Orders of WRESSAA:
    ASSOCIATE MEMBER $20.00
    Associate Family Membership $20.00
    Each additional Family member plus $10.00 each
    ORDINARY MEMBER $30.00
    Ordinary Family Membership $30.00
    Each additional Family member plus $10.00 each
  2. Abide by the Constitution and By-Laws of WRESSAA and generally uphold the dignity of WRESSAA before personal advantage. I/We shall not use unfair means to gain advancement or to injure the chance of another member. I/We shall at all times conduct myself/ourselves so as not to bring discredit to, or dishonour upon, WRESSAA.
  3. Commit to complete a Pet Profile with photograph and basic information required.
  4. If applying for Ordinary Membership, commit to complete a Springer Registry with the basic information for each owned/co-owned or bred springer spaniel and submit to the Chair of the Springer Registry within one (1) year of birth or ownership. Basic information includes:
    registered name/call name and description
    breeder registration -- tattoo, sire and dam
    name of the owner

Yes No

Have you ever been convicted of a charge of cruelty to animals?

Yes No

Do you own/co-own an English Springer Spaniel?

Yes No

If yes, how many?

Give complete details of your English Springer Spaniels below (Breeder, Date of Birth, Male/Female, Spayed or Neutered):

 

Please fill out both of the following questions.

How did you find out about the Club?

Name of contact/sponsoring WRESSAA member:

Would you be willing to volunteer to help WRESSAA with activities and promotion of responsible breeding and pet ownership?

Yes No

Please state your area of interests (pet, show, hunting, agility, etc.) and any other comments that you have. Thanks!

If 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.

Yes No

Enter the date of your application: -- dd/mm/yy

If there is a problem with the form, you may also use the Printable Form (for new members) or the Renewal Form (for present members) or e-mail  for an application.  Sorry for the inconvenience.

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Copyright ©1997-2009 Lynn, Anne & Barb Dorsay, Bondir English Springer Spaniels for Wild Rose English Springer Spaniel Association of Alberta.
Last revised: January 03, 2009.