Membership Application

Statement of Application

I hereby apply for membership in the Clearwater Kennel Club, Inc. I have selected the type of membership that I am interested in and have paid the application fee.

I understand that I must attend three (2) meetings within 6 months. My request for membership in the club will be put to vote at the third meeting I attend.

I agree to abide by the Constitution and By-Laws of the Clearwater Kennel Club, Inc. and the American Kennel Club. I further agree to abide by the Club’s objectives, to support the Club’s mission which is to further the interest in all breeds of pure bred dogs, to do all in it’s power to protect and advance the interest of all breeds of pure bred dogs, to encourage sportsmanlike competition at dog shows and obedience trials under the rules of the American Kennel Club, and to conduct myself in a manner fitting a fancier of purebred dogs.

Type of Membership (check one)

Membership Rules

Read the Constitution & By-Laws Here

Governing Rules

Dog Related Interests (check all that apply)

Breeder Status

If a current breeder, do you sell to a broker?

Committees you would like to be part of (check all that apply)

Have you ever belonged to a kennel or specialty club?

Are you currently a member of a kennel or specialty club?

Do you currently hold a board or officer position in another kennel or specialty club?

Have you ever been suspended or expelled from or refused membership in an AKC club?

Are you currently in good standing with the AKC?

Do you own an AKC recognized breed?

Do you currently participate in any AKC sports or activities?


Today's Date

Voting on this application occurs after the second reading of this application and requires a 75% majority of the members present to vote in favor.

Payment via Pay Pal addressed to

Payment via Check: make payable to Clearwater Kennel Club. Mail addressed to the Treasurer listed below.

Attention: Dan Stolz
180 Motor Rd.
Lexington NC, 27295

After you submit the form, you will be directed to a page to pay your membership fees.

  • 2023 Officers
  • President: Karen Toth
  • Vice President: Carol Blancato
  • Secretary: Judy McDougall
  • Corresponding Secretary: Ron Ronald
  • Treasurer: Daniel Stolz
  • 3 Year Board Member: Sanda Kruger
  • 2 Year Board Member: Mary Stolz
  • 1 Year Board Member: Shirl Fisher