Member Application Request Form

If you wish to apply for membership, please fill out our Membership Application below. Receipt of your membership dues and approval of your membership at our next general meeting is necessary to become a member. You are welcome to attend a General Meeting prior to your membership approval.

Thank you for your interest in the Golden Retriever Club of Illinois!

(R) - denotes required field

Membership:

Status:

First Name (R):

Last Name (R):

Additional Member

First Name:

Last Name:

Phone (R):

Address (R)

Address 2

City, State, Zip (R):

E-mail (R):

E-mail:

(for additional member)

Hobbies & Interests

Volunteers Needed!...In order to continue to offer the wide range of activities and events currently sponsored by GRCI, Inc., we need YOU! You do not need to have had experience, just a willingness to learn and have fun. Please check the event(s) at which you will work. (Please note that unless a courtesy policy has been extended by the show-giving club, you may always show at the same event at which you work.)

Please indicate activities you could help with (check as many as you wish):

Activities

Newsletter Editor	Newsletter Columnist	Newsletter Typist
Public Ed Booths	Public Ed Correspondence	Fundraising
Website Management	Email Management

Please Indicate the events you could work and/or chair (Select as many as you wish)

Events

Health Clinic:		Education Seminar:
Hunt Tests:		Awards Banquet:
Specialty:		Tracking Test:
Field Class:		Fun Match:
Working Test:		Annual Picnic:
Agility Trial:

Please tell us about yourself and your dog(s).