Membership in the organization consists of Family and Individual Members as explained 
below, provided they comply with the bylaws, rules, and regulations of the organization.
Please select the type of membership desired.

Come join the fun! Picnics, parades, clinics and other activities.


________  Family ($30 per year) - Open to one adult or two related adults residing
         together, including the children (under 18 years of age) of such adults.  


________  Individual over the age of 18 ($20 per year)


   
 Name:____________________________________________________________

 Additional Family 
 Members: ____________________________________________________

                                ____________________________________________________

                                ____________________________________________________  
  
  
  Address:_________________________________________________________  
  City:  _______________________________   State:___________    Zip Code:___________  
  
  
Telephone(        ) E-Mail  

Date:      /        /

Signature:     ________________________________________
 
Print Name:   ________________________________________  


Please send this completed application along with your membership dues to:

Membership Chairman
Rising Star Rottweiler Rescue
10201 Lantana Rd.
Lake Worth, Fl. 33449



Thank you for joining


Membership Application
 OFFICE USE ONLY

 Date
 Rec'd   ______/______/______

 Amt
 Paid    ___________________

 Check
 Number___________________
January 1st thru December 31st, 2015 
Definition of Membership
Rising Star Rottweiler Rescue, Inc.
Their heart is the biggest muscle in their body.