GATEWAY AUSTRALIAN SHEPHERD CLUB
ST. LOUIS, MISSOURI
APPLICATION FOR THE: JUNIOR SPONSORSHIP PROGRAM
Please Print or Type
1. Name _________________________________________________________________________
Last First
2. Home Address _______________________________________________________________________
Street City State Zip Code
3. Telephone (Day) ___________________ (Evening) _______________(E-Mail)____________________
4. Date of Birth __________________________ Age ______________
5. College, High School or Middle School you currently attend:
6. Have you ever been on probation, suspended or dismissed from school/college?
Yes ___ No ___ If yes, explain (on a separate sheet).
7. Significant accomplishments in the sport of Australian Shepherds or purebred dogs, including titles earned by dogs that
you handled or Junior Showmanship wins: (you may use a separate
sheet of paper for this question if you need more space).
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
8. List extracurricular activities that relate to your involvement with purebred dogs, i.e.,
Responsible Dog Ownership Day, Community work you might be involved in this year, etc.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
9. If you have given a presentation in your school or community relating to purebred dogs,
please explain: ______________________________________________________________________
__________________________________________________________________________________
10. What other hobbies/interests do you have? ________________________________________________
_________________________________________________________________________________
11. List the events you worked at for the Gateway Australian Shepherd Club in the current year:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
12. Describe how being involved with ASCA, Australian Shepherds, and purebred dogs has made you a
responsible dog owner and how you have performed as a canine ambassador in your school
or community (you may use a separate sheet of paper if you need more space).
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
13. List below your proposed annual monies you will need to attend a National Specialty, Obedience Invitational, agility,
tracking, herding trials, or conformation shows for the next year. An educational venue that you plan to attend such as an
obedience, tracking, herding or agility seminar would be included, as well as any basic non dog related education needs.
This can be an approximate figure based on previous years.
ASCA National Specialty $______________
Other ASCA or Dog Events you plan to attend:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Other Educational Financial Needs:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
I certify that I have truthfully and accurately answered the above questions to the best of my
knowledge and belief, and that I understand any false or concealed information will be grounds
for rejection of my application or subsequent termination of my sponsorship. Furthermore, I
hereby authorize the sponsorship committee of the Gateway Australian Shepherd Club to verify any information that I have
listed. If additional information or documentation is requested of me, I shall be pleased to furnish it.
Signature _____________________________ Date _____________________________
Parents’ signature if the applicant is under 18 years of age:
______________________________________ Date:___________________________
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