Membership

Wirehaired Vizsla Club of America (WVCA) Membership Application Form

Membership Period: one year from January – December. 
New membership one-half off after September 1.

Send completed application form and payment to:
WVCA, 100 Gill Field Court, Lexington, SC 29072

Make checks payable to Wirehaired Vizsla Club of America

Renewal____ New_____ Change of Address____     Single ($35)___ Family ($50)___ Junior ($17.50)___(under 18 years of age)

Mr.__ Ms__ Mrs.__    Last Name_____________________________________   First Name_______________________________

Mr.__ Ms__ Mrs.__    Last Name_____________________________________   First Name_______________________________

Occupation (optional)_______________________________________________________________________________________

Street Address__________________________________________   Apartment/Unit_____________________________________

City__________________________________________________   State________________   Zip_____________-____________

Home Telephone (optional) (_______)_______-______________    Mobile Telephone (optional) (_______)_______-___________

E-mail (print clearly)________________________________________________________________________________________

Your e-mail address is required in order to receive updates on WHVCA events.

The club may post members’ names, home addresses, e-mail addresses, and phone numbers on a password protected,
members only club website.

Check if you DO NOT want your e-mail address posted: ___      Check if you DO NOT want your phone number posted: ___

Please indicate information about any of the Wirehaired Vizsla(s) you own

Call Name of WHV

Sex

D.O.B.

Registered Name

Registration Number
(AKC, NAVADA, FCI,
FDSB, UKC)

What are your dog-related interests?  

Hunting_________________________    Field Trial _________________________   Hunt Testing __________________________

Obedience_______________________    Agility ____________________________   Tracking _____________________________

Breeding ________________________    Therapy Dogs ______________________   Showing _____________________________

Other______________________________________________________________________________________________________

I am currently the following:
Judge___________________________     Breeder___________________________   Exhibitor______________________________

Do you have a kennel name?________      If so, what is the kennel name________________________________________________

New to breed and want to learn more_____________________________________________________________________________

Please check those items in which you are willing to help.

Hunt Tests__________________   Conformation Shows___________________   Performance Events________________________

Rescue__________________  Web site__________________  Board of Directors______________  Social Events______________

Newsletter________________ Other (please list)___________________________________________________________________

Rules for Applying for Membership

·       Send your completed application form and payment to: Bryan Swenson, 17217 168^th St SE, Big Lake, MN 55309.  Please make checks payable to Wirehaired Vizsla Club of America.

·       The membership Period is for one year from January – December.  Dues shall be payable on or before the thirty-first of January of each year. After 30 days, a 20% late fee will be applied. Membership will lapse after 60 days and individuals must re-apply for membership.

·       For applications accepted after September 1st, dues shall be 1/2 of the stated amounts.

·       No member may vote whose dues are not paid for the current year.

Assumption of Risk and Liability Waiver

Some WHVCA events by their very nature are inherently dangerous and involve some degree of risk.  I am aware that participating in the Wirehaired Vizsla Club of America’s events may expose me to certain risks and dangers including, but not limited to the hazards of mountainous, aquatic, or wilderness terrain, accident, illness, the forces of nature, and travel to and from the trailhead or point of departure.  I am aware that it is not possible to foresee all of the potential hazards of WHVCA activities.  Each participant in a WHVCA activity is responsible for his or her decisions.

To the best of my knowledge, I feel physically and mentally able to assume full participation in the outings of activities in which I will participate.  I understand that the Wirehaired Vizsla Club of America is a volunteer organization.  In consideration of voluntarily participating in these events or activities, I have and do hereby assume all the risks inherent in these activities and hold harmless the Wirehaired Vizsla Club of America and its agents, tour leaders, officers, and instructors, from and against any and all claims, liability, and demands of any nature, for the acts or omissions of the Wirehaired Vizsla Club of America or its agents, leaders, officers, or instructors.

I have read the WHVCA constitution and by-laws and the WHVCA Code of Ethics and agree to abide by them.

I HAVE READ AND UNDERSTAND THE ABOVE STATEMENTS CONCERNING THE WHVCA.

Each member and each household member must sign the WHVCA Liability Waiver.  A parent or guardian must sign the form for members under 18 years of age.

Signature:_________________________________________________________             Date:_______________________

Signature:_________________________________________________________             Date:_______________________

Signature:_________________________________________________________             Date:_______________________

(Parent/Guardian)