Membership Application

Biewer Terrier Club of Canada Member Application

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* 1. Contact Information

Name

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Are you a breeder or a pet owner

Breeder

Pet Owner

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* 3. Where did you hear about the BTCC

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* 4. Why do you want to become a member of the BTCC?

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* 5. Who are your sponsors, and how long have you known them?

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* 6. Breeder Information

Kennel Name

Kennel URL (Website)

Where did you get your Biewer Terrier from?

Where are your Biewer Terriers registered?

What dog clubs are you registered with?

Do you have other breeds?

How long have you been breeding?

How many Biewer Terriers do you have?

What health testing do you do?

What venues do you show your dogs in?

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* 7. As a potential member, what areas of the committee interest you?

Public Relations

Ethics Committee & By-Laws

Social Media Master

Advertising & Newsletter

Registration & Memberships

Health & Breed Education

Rescue Organization

Shows & Trial Coordinator

Other (please specify)

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* 8. A little more about you, are you any of the following:

Licensed Judge

Professional Handler

Certified Dog Trainer

Other (please specify)

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* 9. Membership into the Biewer Terrier Club of Canada: I understand that this membership is valid for 1 year. Running from January to January, and is non refundable. The yearly fee is $43.00 CAD, If the BTCC finds that the information submitted has been falsified, in any way, my membership will be terminated immediately, and no refund is applied. I acknowledge the terms of the above stated membership agreement by typing my name and date in the box below. The typing of my name and date, constitutes my electronic signature.

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* 10. RELEASE OF LIABILITY: By signing and submitting this application for membership consideration, applicant authorizes and agrees to hold harmless and without liability its officers to investigate, solicit, obtain and discuss any and all information pertaining to an applicant’s moral and ethical character as it relates to the standards and guidelines set by the BTCC and which is believed by the BTCC officers to have a bearing upon the applicant’s moral and ethical character. Applicant acknowledges that all information gathered shall be open for review and discussion among the BTCC officers as a part of the BTCC membership application process. I acknowledge that the BTCC officers and their directors are volunteers and are not responsible for any errors or acts while representing the Biewer Terrier Club of Canada. The typing of my name and date, constitutes my electronic signature.