Appalachian Great Pyrenees Association Inc.

Application for Membership

Becoming a member of AGPA Inc. means you will receive the Pyr Review (our news letter), invitation to our
Pyr Jubilee, and Pyr Fest, special Pyr perks such as playgroups, training sessions, and lots of other fun events.

Name:_________________________________________

Address:________________________________________

City, State, Zip: __________________________________

Phone: H)___________W)____________C)____________

Email:__________________________________________

Name of co-applicant:______________________________

Address (if different than above):______________________

________________________________________________

Phone: H)__________W)____________C)______________

Email:_____________________________________________

Do you own a Great Pyrenees?___________________________

If you do have Pyr, please take a moment to fill out some info about your dog:

Your dog’s name:___________________________________________

How long have you had your Pyr?_______________________________

Is your pyr a livestock guardian or a pet?__________________________

Is your Pyr a rescue? If so from where?_________________________________

Is your Pyr from a breeder?_____________________________

Breeders Name:_____________________________________

Is your Pyr AKC registered?______________________________

If so please tell us his/her registered name:_________________

___________________________________________________

AKC #_________________________________________

Is your Pyr spayed/neutered?_________________________

What are your interests in Great Pyrenees and or what do you like best about the breed?___________________________________________________

__________________________________________________________

Please put a check by anything you would like to volunteer for, or that you are interested in:

Events____

Fostering___

Ways and Means (store)___

Newsletter___

Publicity___

Transport___

Other:__________________________________________

I/we understand that all the information I/we have provided above is true. I/we will also notify AGPR if my status with the AKC or any other dog affiliated club should be suspended. I/we understand that the dues are must be paid annually. Membership dues are $10.00 annually. Payment must be made with application, payable to AGP Rescue Inc.

Dues are to be sent out annually, non-payment will result in termination of membership and all of its benefits.

Applicant Signature:____________________________Date:______________

Co-Applicant Signature:__________________________Date:_____________

Thank you and we are looking forward to having you join us!