North Central Ohio Beagle Club
Membership Application

Applicants Name: ________________________________________

Address: _______________________________________________

Phone:___________________ E-mail address:__________________________________

Beagling Information
Have you registered a litter of AKC beagle pups in the last two years (month/yr.)? ____________________
Do you enter your dogs in AKC beagle field trial events? _________ Exhibitions?____________________
Have you completed an AKC Beagle Field Trial Judges Seminar? ______ Judges Number:____________
Membership desired: Individual Membership_____ Family Membership_____ Associate Membership_____

Applicant’s Signature: ______________________________________ Date: ______________________
Club Member’s Signature: ______________________________________ Date: ___________________
Club Member’s Signature: ______________________________________ Date: ___________________