Heart of Michigan English Cocker Spaniel Club

Membership Application

PDF Application

Name: ­_________________________________

Address: ________________________________

City, State, Zip: ___________________________

Phone Numbers (Home) _________________(Cell) ________________________

Email address __________________________

Interests: Showing Obedience Breeding Judging Stewarding Handling

Boarding Grooming Tracking Other: _______________________________

How Many English Cockers Do you own? _______________ How Long? ___________________

Do you own other breeds? ______________________ What other breeds?

Do you Board Dogs? _____ Do you belong to other Dog Clubs?

Please List the other dog clubs you belong to and length of membership.




Please write a short paragraph telling us why you would like to join HMECSC:

Membership proposed by:

Seconded by:

Return application to:

Julie Pepper

8300 Wiggens

Howell, MI 48855

Sponsors: Please write a short paragraph on the back of the application in support of applicant.