Airedale Terrier Club of Illinois LogO.j
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:
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: ____________________________