Airedale Terrier Club of Illinois
Application for Membership
1. Fill in application below
2. Attach sire and dam for each Airedale that you own or co-own, including the names of the breeders, if available.
3. Submit application along with a check for $20.00 to the Club Secretary or bring completed application to a club meeting.
4. Attend club meeting. Date, time and location will be listed on the ATCI website: www.airedaleterrierclubofillinois.com
Name: ______________________________________________________________________________________________________________
Address: ____________________________________________________________________________________________________________
City: ______________________________________________________________ State: _____________________ Zip: ________________
Home Phone: ( ) ______________________________________ Cell Phone: ( ) ________________________________________
Email: _______________________________________________________________________________________________________________
List any dog club affiliations: ___________________________________________________________________________________________
______________________________________________________________________________________________________________________
Do you breed Airedales? (Y/N) __________________ Kennel Name: _______________________________________________________
Are you an exhibitor of Airedales? (Y/N) ______________ If Yes, are you involved with: (Y/N)
Conformation ___________ Obedience _______________ Agility _____________ Rally ______________ Barn Hunt ________________
Other ________________________________________________________________________________________________________________
The ATCI is involved in activities over the course of the year. We hope that you will be able to give of your time and skill and assist the Club in one of these activities.
Please indicate areas of interest:
June Specialty ________________ Meet the Breed _____________ Club Member Events ________________
Other skills the Club might find of assistance ______________________________________________________________________________
Please contact the Club Secretary if you have further questions. ATCI is looking forward to meeting you and your Airedale(s).
I am interested in the Airedale Terrier and I subscribe to the Club's objectives to promote the best interests of the breed.
Signature: _______________________________________________________________ Date: ____________________________
