Name(s):_______________________________________________________________________

Address:________________________________________________________________________

_________________________________________________________________________________

Telephone: (H)___________________(W)_______________________E-mail:_________________

Sponsor:___________________________________________________________________

(must be NWC or WCA member in good standing)

Please let us know your areas of interest: (circle)

Conformation Field Obedience Breeding Rescue Tracking Agility

Other:____________________________________________________________________

Would you consider volunteering some of your time to help plan or work at a club event?

___Yes ____No If so, please indicate which event:__________________________________

Please tell us how you acquired your Weimaraner(s) and from whom:

_____________________________________________________________________________________

Dog’s Call Name(s):____________________________________________________________________

Dog’s Registered Name(s):_______________________________________________________________

_____________________________________________________________________________________

Circle membership type:

Family ($20/year) Individual ($15/year) Associate (Newsletter only) ($10/year)

Annual membership covers the period from June 1 through May 31 of the following year. For applications submitted after March 2, dues are pro-rated @ 50% of the annual rate. Upon approval, you will receive a Membership Packet. This packet will include an Events Calendar, a copy of our quarterly Newsletter, and a Membership List.

Please make checks payable to the Nutmeg Weimaraner Club, and mail with a completed application to: Dorothy Morrill at the address below.

Thank you for your interest in our club. If you have any questions please contact me.