Membership Application

Joint Membership £16, Sole £10

Payment details will be sent upon acceptance

Applicant 1 Name(Required)

First Last

Applicant 2 Name

First Last

Address(Required)

Street Address Address Line 2 City County Postcode

Email(Required)

Phone(Required)

Proposer Name(Required)

President: Reyna Knight

Chairman: Bill Nixon

Hon Secretary: Chris Walker

Hon Treasurer: Jennis Moseley

Breed Officer: Dave Beeton

Health Co-Ordinator: Rachael Abbott

Marketing Officer: Claire Boston Smithson

Herding Officer: Steve Poole

General Committee: Al Simmons

Note: The Proposer must be a Committee Member of BCUK.

Date Proposed(Required)

How proposed:

The Bergamasco

Have you ever owned a Bergamasco?(Required)

Yes

No

Do you still own one?(Required)

Yes

No

Have you ever met one?(Required)

Yes

No

Where?(Required)

Your Bergamasco(s) Name(s):(Required)

Your Bergamasco(s) Age(s):(Required)

Your Bergamasco(s) Breeder(s):(Required)

Please tell us what other dogs you have in your household:(Required)

Please tell us what your interest in the Bergamasco breed is?(Required)

Please tell us if you have any Show Ring experience and/or any Breeding experience and qualification (i.e. Assured Breeder)(Required)

Do you wish to be placed provisionally on the Bergamasco Puppy Waiting List?(Required)

Yes

No

Please note: A full vetting process is normally done by the Club, and then finalised by the pup’s Breeder once a litter is confirmed and before any commitment to sell a pup is made.

Would you consider a rescue Bergamasco or one which needs rehoming?(Required)

Yes

No

What skills could you offer BCUK to help take us forward (e.g. catering, IT)

Please note: Submission of this membership application form implies intent to become a Full Member of the Club. Application are subject to Committee approval.

Club Code of Ethics and Principles and Constitution will be sent to Members on their acceptance into the Club.