Membership Application can be downloaded in Word format here:
GREAT DANE ASSOCIATION OF IRELAND
Cumann na nDanar Mór in Éirinn
I/We hereby apply for membership to the Association and confirm that I have never been convicted in a Court of Law for any offences related with cruelty to animals and that I have not been banned from participation by the Irish Kennel Club, the F.C.I. or other recognised Kennel Club.
I remit herewith the Application & Membership Free per person as indicated below. Enclosed amount =
(Individual : €20 Annual Renewal: €10) ( Family Membership: € 40 Family Renewal: €20)
Applicant /’s Details:
First Applicant Second Applicant
Name __________________________ Name_____________________________
County ________________________ County ___________________________
Country _______________________ Country __________________________
Date of Birth __/___/_____Occupation______________ Date of Birth ___/____/____Occupation______________
Ph Number (H)_____________Mobile________________ Ph Number(H)_______________Mobile_______________
Email _________________________ Email_____________________________
PLEASE NOTE: The association’s formal method of communication is email unless otherwise stated. Under family membership where only one email address is provided it is assumed agreed that this is a sufficient form of communication for both applicant and Junior members. Please list the name and age of all Jr members under 18 years of age.
Website/s (if dog / Dane related) 1_________________________ 2_________________________________
I/ We participate in (please tick all that apply)
|Currently active in||Would be interested in||Currently active in||Would like to participate in|
|Confirmation Showing||Search & Rescue|
|Canine good Citizen||Other:|
|Therapy Dogs||Other :|
|Lure Coursing||Other :|
I/We are member/s of good Standing in the following Clubs:
When did you get your first Great Dane? ___________________ (Year) Whom/ where from? ________________________
How many Great Danes currently live with you? _____Please list below the Age, Sex & colour(s) of your Great Dane(s)
How are your great Danes housed ______________________ Do you co-own any Great Danes?_____________________
Do you breed / intend to breed? Yes [ ] No [ ] Kennel Name _______________________
Have any of your dogs ever been Rescued or surrendered to a Welfare Facility? Yes [ ] No [ ]
If yes please provide details ____________________________________________________
If you breed, how many litters have you bred? _____________ From ______ to ______ (Years)
Do you judge the breed? Yes [ ] No [ ] Level ___________
Any special areas that you are qualified / interested in and you feel you could contribute to?
Which of the following fields are of particular interest to you and/ or would you like to help with?
|Breeders Education||Show Organisation||Health & Research||Temperament Assessment / Aptitude Testing|
|Judges Education||Junior Showmanship||Puppy Parties||Breed Surveyor / Warden|
|Fundraising||Rescue||Database||Obedience /Special Training|
|Sponsorship||Fostering||Breed History||Ring Craft|
|Website||Companion dog events||Newsletter/ Annual||Seminars / Lectures|
|Stewarding||Cups & Trophies||Association Merchandise||Show Catalogue|
|Genetics & Breeding||Event hosting / organizing||GDAI stand Pet Expo etc.|
|Breed Standard Illustration/ Discussion Document|
Why do you wish to join the Association? _____________________________________________________________________
I certify that I answered all questions honestly and to the best of my ability. In the event that my application is successful I agree to the Association’s Statutes, Rules & Regulations, Code of Conduct & Policies and the rules of the IKC / FCI. I understand that the Association’s Committee has the sole authority to accept or reject my application without giving me an explanation. I authorise the Association to print my details in the Association membership list. (If you don’t wish your address, telephone number & e-mail to be listed please tick here [ ]).
Applicant 1___________________________________ Applicant 2________________________________________
Print name in full ___________________________ Print name in full___________________________________
Signature _____________________Date____________ Signature __________________ ___Date_____ ______
Every Application must be signed by two Full members of the Association who know the Applicant(s) and can personally vouchsafe for them. The signatories must review the application in full and fill & sign the below, indicating if they recommend the Applicant either as Full or Associate Member :
Member One Member Two
Member One: I recommend the Applicant as Full Member [ ] Associate Member [ ]
Member Two: I recommend the Applicant as Full Member [ ] Associate Member [ ]
Payment Method Fee schedule: (Individual €20 Annual Renewal: €10) (Family Membership: € 40 Family Renewal: €20)
Pay Pal Send payments to firstname.lastname@example.org please state the name of the applicant/s which the payment refers also ensure that you cover the Pay Pal fee and the full amount of membership is sent to the GDAI or this may hold up your application.
By Post payments can be made with completed application or renewal form enclosing a Cheque, Draft or copy of Pay Pal confirmation only DO NOT SEND CASH by Post. Please note that all questions must be answered for the application to be considered. Completed Applications and payment or Pay Pal confirmation to: The Treasurer, Great Dane Association Ireland, Skyview, Baskin Lane, Cloghran, Co. Dublin
If you wish to receive a receipt please enclose a self-addressed envelope with sufficient postage. Receipts will be issued after the applications have been processed and envelopes will be returned with refund of fees by cheque in case the application is not successful.
For office use only NOTEs: ________________________________________________________________________________________
|Date received||Date for committee||Approved Yes / No Date||Votes|
|Entered on to Data Base||Added to FB||Received welcome Pack||Assigned a buddy|