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MEMBERSHIP APPLICATION

DOWNLOAD the USLHC CONSTITUTION and BYLAWS

Adopted by the Membership June 21, 2021

DOWNLOAD PDF APPLICATION

You can choose the method works best for you. 

  • Click the button above to download the application form and complete it offline at your leisure. 
  • Or, scroll down to complete the online application and enjoy the immediacy of an electronic form.

Click the “Submit Application” button when you have completed it to send it to the Membership Chair.

USLHC Logo on the left with the following text centerd: United States Lancashire Heeler Club, The Official Parent Club of the Lancashire Heeler Breed, and the tagline

Personal Information

Member's Full Name
Address

Membership Type

Memberships
Please fill out separate renewal forms for each family applicant.

Tell Us About Yourself

Describe what you hope to get out of being a member of the USLHC and anything else you would like the Membership Committee to know about you.
Tell us as much or as little as you'd like the Membership Committee to know when considering your application.
Do you own a Lancashire Heeler

Sponsors

Applicants must be sponsored by two USLHC members in good standing. Sponsors will be contacted for support statements. If you need assistance in finding sponsors, please contact the Membership Chair.

All applications will be reviewed by the USLHC Board of Directors. Acceptance is dependent on a majority board vote.

Applicants must be 18 years of age; a parent or guardian must co-sign for a Junior applicant.

By signing this application, I agree to abide by the following as set forth by the USLHC:

  • To abide by and uphold the principles of the USLHC Constitution and Bylaws and the American Kennel Club regulations including the AKC Code of Sportsmanship.
  • To encourage and maintain the best accepted, reasonable, and responsible standards of canine health, hygiene, feeding, care, and training.
  • To be a mentor for the breed, willingly sharing my knowledge and experience related to Lancashire Heelers and information relating to participation in dog sports and activities with others.
  • Not to sell, place, or consign any Lancashire Heeler to a commercial facility, business, or agent thereof.
  • Not to relinquish any Lancashire Heeler to an animal shelter.

Applicant Signature

Please type the full name of the signer to indicate their signature. For applicants under 18, please add the full name of the responsible parent or guardian who supports this Junior membership.

Membership Directory

The USLHC publishes a membership directory designed to facilitate members’ ability to meet and collaborate on activities with their dogs. The USLHC is required to provide specific member information to AKC annually. USLHC does not sell member information. You may opt out of having specific contact details published if you choose and so indicate below.

If you would like to withhold any information from the USLHC membership directory, please indicate:

Payment Information

Use PayPal to send your dues to treasurer@unitedstateslancashireheeler.club.com.

If you prefer, mail your check, payable to the USLHC, to:

USLHC c/o Lindsey Dobruck
1907 Andreo Ave.
Torrance, CA 90501

Club Use Only

Disposition
Payment Method

By signing this renewal form, I agree to continue to abide by the following as set forth by the USLHC:

  • To abide by and uphold the principles of the USLHC Constitution and Bylaws and the American Kennel Club regulations including the AKC Code of Sportsmanship.
  • To encourage and maintain the best accepted, reasonable, and responsible standards of canine health, hygiene, feeding, care, and training.
  • To be a mentor for the breed, willingly sharing my knowledge and experience related to Lancashire Heelers and information relating to participation in dog sports and activities with others.
  • Not to sell, place, or consign any Lancashire Heeler to a commercial facility, business, or agent thereof.
  • Not to relinquish any Lancashire Heeler to an animal shelter.

Applicant Signature

Please type the full name of the signer to indicate their signature. For applicants under 18, please add the full name of the responsible parent or guardian who supports this Junior membership.

Electronic Communications Consent Form

Pursuant to the Mississippi Nonprofit Corporation Act and Article II, Section 5 of the Club’s Bylaws, members may elect to receive official club notifications via electronic transmissions.

To authorize this, you must complete, sign, and return this form to the Club Secretary. If you choose not to sign this form, you will continue to receive all official communications and notices via the United States Postal Service.

Preferred Communication
Address
(This is the exact email address where all official club notices will be sent.)

Member Acknowledgement and Consent

Consent to Electronic Notices: I hereby consent to receive all official notices of meetings, dues renewals, and other general club communications via electronic mail (email) sent to the address listed above. I understand that electronic transmission constitutes formal, legal notice under Mississippi law.

Consent to Electronic Notices

Terms and Conditions

Terms & Conditions
Please check every box to which you agree.

Member Signature

Please type the full name of the signer to indicate their signature. For applicants under 18, please add the full name of the responsible parent or guardian who supports this Junior membership.

Payment Information

You may use PayPal to send your dues to secretary@unitestateslancashireheelerclub.com

Or, you may mail a personal check, payable to USLHC to:

USLHC c/o Lindsey Dobruck
1907 Andreo Ave
Torrance, CA 90501

Membership Types

Club privileges vary according to the type of membership. Please select a type of membership that best fits your circumstances: Individual, Family, Junior, or Foreign.

  • Individual membership shall be for one adult. Individual members may vote, hold office, and serve on committees. Dues: $25 annually.
  • Family membership shall be for two adults living in the same household. Only one member may hold office but both members may vote and service on committees. Dues: $35 annually.
  • Junior membership shall be for children under 18 years of age. This is a non-voting, non-office holding membership that may automatically convert to regular membership at age 18. A parent or legal guardian must co-sign this application. Dues: $0 annually.
  • Foreign membership shall be for individuals who are not residents of the U.S. (or its
    territories and possessions). They shall be entitled to all club privileges except voting, holding board positions, and serving on committees. Dues: $15 annually, payable in US dollars.
  • Life Membership is open to those individuals who have been members for 20 consecutive years. Life members pay no dues but are eligible to vote, hold office, and serve on committees. Dues: $0 annually.