New Membership Application

This form is ONLY for new member applications. If you are renewing your membership, please sign onto the Members Only section and use the renewal form.

New member applicants must submit membership fee directly to: VP Membership - Cindi Nash, 1237 Maple St., Box 193, Fenwick, ON, L0S 1C0. Both application and fee must be received before membership can be approved by the Board.

eTransfer payments may be sent to: Please send the security question answer to the Treasurer at: so that your eTransfer can be processed. You will be notified by your bank when the eTransfer has been received by the LOC bank.

Fields marked with an asterisk (*) are required.

Member type (*):Family ($33.90)  Active ($28.25)  Associate ($22.60)
Student (Volunteer hours) 
Add listing on breeder's page:$11.30
Last name (*):
First name (*):
Address (*):
City (*):
Province/State (*):
Postal/Zip code (*):
Home phone:
Kennel name:
Do you have a website (*):Yes No
If you have a website, full URL of website (
Delivery option for bulletin (*):E-Mail  None
Do you want to be on the list for general mailings from other members (*):Yes None
Are you a breeder (*):Yes No
Tatoo or chip code:
Stud (*):Yes  No
Tell us a little bit about yourself (*):
How would you like to support your club?
Show:Chair  Specialty Show Committee  Judging  Trophies  Health Clinics/Booster 
Sanction Matches 
Obedience:Chair  Training/Trials  Rally-O  Correction Matches  Judging 
Hunt / Field:Chair  Training/Tests 
WC / I / X:Chair  Training/Tests  Gunners  Fun Picnic Trials 
Bulletin Committee:General  Article Writing  Picture Taking  All About Pet Show  Scugog Show 
Other:Agility  Flyball  Tracking  Hospitality Baking  Membership Committee 
Educational Events
The LOC collects and maintains a databank of membership information supplied by approved membership applicants. This includes names, address, telephone numbers, e-mail addresses, webpage, tatoo numbers, involvement or interest in the breed. This information is collected and used for the LOC renewal information, newsletter addressing, web site listing, and volunteer requests. Information will not be shared or supplied to outside organizations unless permission has been given to do so.

In submitting your application, you confirm your desire to be a member of the LOC and to abide by the LOC's Constitution and Code of Ethics at
Please type in your full name to acknowledge your understanding and acceptance of the above clauses (*):
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