Sponsor's Questionnaire

This form should be returned to the applicant.

Sponsor:

Sponsor Address:




Sponsor Phone:

Sponsor Fax:

Sponsor E-mail:

Applicant:

Applicant Address:




Applicant Phone:

Applicant Fax:

Applicant E-mail:

1. How many years have you known the applicant?

2. How many Norwich/Norfolk (please circle) does the applicant own or co-own?

3. Does the applicant show and/or breed these dogs? Yes [ ] No [ ]

4. Does the applicant own other breeds of dogs? Yes [ ] No [ ]
If yes, list breed(s) and the number of each.


5. Describe the applicant's involvement with Norwich/Norfolk (exhibiting in conformation, agility, obedience, tracking, pet therapy work, pet companion, etc.)







6. Does the applicant intend to breed these dogs? Yes [ ] No [ ]

7. Does the applicant's dog provide stud service? Yes [ ] No [ ]

8. Please check any particular committee(s) in which you think the applicant might best serve the Club:

Education [ ], Health-Genetics [ ], Newsletter [ ], Obedience [ ], Show Tropies [ ], Ways and Means [ ], Working Terriers [ ]

This form should be returned to the applicant.

Sponsor's Signature:

Date: