Maple Leaf Kennel Club Membership Application 2004 NAME:______________________________________________________________ __ ADDRESS:____________________________________________________________ _ CITY:_________________________POSTAL CODE:_________________________ PHONE:_______________________FAX:_____________________ E-mail:___________________________________ Areas of interest Conformation_____________ Obedience___________ Agility______________________ Weight pull_________ Ring stewarding___________ Judging______________ other_________________________________________ I/We hereby agree to abide by the constitution, By-laws and Code of Ethics set forth by the Maple Leaf Kennel Club and the rules and regulations of the United Kennel Club. Maple Leaf Kennel Club has the right to decline any membership application that does not meet its requirements. Signature________________________________________________________________ Membership Fee: $25.00 Please send your completed application form and fee to: Sharon Robertson Secretary/Treasurer Maple Leaf Kennel Club 20096 Kennedy Road Caledon Village, Ontario L0N 1C0