SMRC/Membership Application
Name (include all household names for a household membership)
Address_________________________________________________________________
Phone_____________________ Cell Phone_______________Email________________
Number of Dogs and Level ___________JH___________SH__________MH
____________Started______________Seasoned___________Finished
Would you be willing to work a two day event: _________Yes_________No
Membership Level____________Individual($25)__________Household($30)_________Junior($10)
Have you ever run in an AKC or HRC event_____________Which one_____________
Have you ever judged and AKC or HRC event, if so state type and Judge
.
Do you have a current Judges Seminar(list date of seminar)________________________
HRC membership number_________________
Check any or all of the listed jobs you would be willing to do:
q
Hunt Test Secretary
q
Hunt Test Marshall
q
Captain of Guns
q
Shoot Flyers
q
Bird Boys
q
Furnish Vehicle
q
Trailer for Test
Comments___________________________________________________________
Approval_________________________
________________________________
Return to: Deb Wehner, 1374 Santa Fe Road, Rogersville, MO
65742
