The Labrador Retriever Club of Alberta
Membership Application
NAME: _________________________________________________________________________
ADDRESS: _____________________________________________________________________
Street City 
Postal Code
E-MAIL ADDRESS:_____________________________
HOME #: _______________________________ Work:# ________________________
Are you a CKC MEMBER? YES / NO If Yes CKC membership # ___________________
TATTOO COMBINATION__________________KENNEL NAME______________________________
INTERESTS: (Circle all that apply) SHOW OBEDIENCE CONFORMATION SPECIALTIES WORKING CERTIFICATE TESTS HUNT TESTS NAHRA HUNT TESTS HUNTING AGILITY TRACKING OTHER______________________________
Circle any of the following that might be applicable: Own a Lab (# ),
Own another breed (______________), Breeder, Judge, Field, Obedience or Conformation
I HAVE READ AND FULLY UNDERSTAND THE CONSTITUTION BY WHICH THE LRCA
OPERATES BY AND I AGREE TO ABIDE BY THE RULES AND REGULATIONS OF THE CLUB.
SIGNATURE:(s):____________________________________________________________________
SPONSORING MEMBER/REFERENCE________________________________________________
Any LRCA Club members that you know please list on back.
TYPE OF MEMBERSHIP: FAMILY ( ) $25INDIVIDUAL ( ) $20
JUNIOR ( ) (NO CHARGE)ASSOCIATE ( ) $15
PLEASE REMIT WITH PAYMENT PAYABLE TO LRCA TO:
Alayne Herzog
Membership Chairperson
174 Covewood Circle N.E.
Calgary, Alberta
T3K 5P9
NOTE: An associate membership is recommended for those members who are unable to attend
meetings and to members with other breeds than Labrador Retrievers.. You will still receive all
Newsletters and are completely eligible for all functions.
HOWEVER YOU WILL NOT BE ELIGIBLE TO VOTE OR STAND FOR AN EXECUTIVE POSITION..
(President, Vice President, Secretary, Treasurer).
