Application Form
Download Membership Form (PDF)Application Form
Thank you for your request for an application to join the Great Dane Club of North Central Florida. After you have completed the application, please return it to Valerie Ryan-Wagner at 2281 Alton Road, Deltona, Florida 32738 with your check for membership dues as follows:
• For single applicant $15.00
• For household applicants $20.00
Please make checks Payable to: Great Dane Club of North Central Florida.
I hereby apply for membership in Great Dane Club of North Central Florida, and remit herewith the application fee per person as indicated. As part of my application, I submit the following information:
Name: (Please Print)____________________________________
Name: (Please Print)____________________________________
E-Mail address______________________________________________
E-Mail address______________________________________________
Phone Number________________________________________
Phone Number________________________________________
Address______________________________________________
______________________________________________
Business Profession or Occupation_________________________
I have exhibited at ____________________shows in the last 24 months
I have exhibited at ____________________sanctioned matches in the last 24 months.
When did you get your first Great Dane_____________________
How many Great Danes do you own at this time_____________
What Color Great Dane do you own
( ) Fawn ( ) Brindle ( ) Blue ( ) Black ( ) Harlequin ( ) Mantle
Do you participate in Rescue_____________________________
Do you have a kennel name_____ What is it_________________
My main interest in Great Danes is:
( ) Confirmation Shows ( ) Obedience ( ) Rescue ( ) Dane Lover in General
Would you be interested in participating any of the following?
Web Site, Program committee, Rescue, Cluster, Membership Drive, Board Member.
Are you a member of any other Great Dane or Dog Clubs: ___________
What is that organizations name__________________________________________________
If yes, do you hold an office ______________________________
I will work in the following aspects of the club to help promote the breed and the success of our organization:
By signing below, I attest that all the information provided on this application is true and correct, and agree to abide by the Constitution and Bylaws of the Great Dane Club of North Central Florida, and the rules and regulations of the American Kennel Club.
Signature ______________________________________
Signature ______________________________________
Please print your (2) sponsor’s name below:
Sponsors can not be of the same household.
Please note your sponsor will be contacted by the secretary of this club.
Please visit our web site at www.gdcncf.org for club by-laws and www.akc.org for rules and regulations.