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SPONSOR’S STATEMENT
APPLICANT KNOWN TO SPONSOR FOR _______
YEARS
KENNELS OR HOME OF APPLICANT VISITED BY SPONSOR
YES 
NO
APPLICANT OWNS: (#) BEARDED COLLIES
________
(#) OTHER BREEDS ________ TYPE(s)_____________________________________
________________________________________________________________________
BEARDED COLLIE PURCHASED TO PARTICIPATE IN FOLLOWING
ACTIVITIES:
CONFORMATION
THERAPY AGILITY
HERDING OBEDIENCE
TRACKING COMPANION
BREEDING
OTHER _________________________________________________
If applicant is engaged in commercial enterprise connected with dogs,
please state enterprise:
__________________________________________________________
__________________________________________________________
Are puppies or adult dogs sold in connection with these enterprises?
YES NO
Applicant has received the BCCA Constitution & By-laws, Codes of
Ethics, Breeder’s Guidelines, & Educational Brochure:
YES NO
Applicant needs copies of these documents:
YES
NO
Applicants’ names will be published in the BCCA Newsletter (the Bagpipes).
Applicants will be voted on at the next Board Meeting following publication
of names.
I am currently a BCCA Member in good standing and state that the
facts contained in this statement are correct to the best of my knowledge
and belief and am aware of my responsibility to the Club in sponsoring
an applicant.
Sponsor’s Signature:___________________________ Date: _________
Sponsor Name (Please Print) __________________________________
Rev. 10/98 (web) Return
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