Name:

Business Name:

Address:  Business Home

City: State: Zip:

Phone: Fax:

Email:

Website:


How long have you been grooming cats?

With which other pet organizations, clubs, or businesses are you in good standing?

What pet professional certifications have you achieved?

Have you ever been charged and convicted of animal cruelty or neglect?  No Yes
If yes, please explain:

Are you currently involved in any unsettled problems with clients regarding your care of their cats?  No Yes
If yes, please explain:


I, , in my role as a professional cat groomer, affirm the information provided on this application and other correspondence with HCGA members to be true and correct to the best of my knowledge. I understand and accept membership with HCGA is non-transferable. Falsified statements or information provided shall be grounds for undisputed and immediate termination of membership and revocation of my membership benefits. By signing below, I agree to abide by the “HCGA Code of Ethics” while at all times adhering to my pledge as a HCGA representative.

Initial membership registration is $55; Annual renewal is $40. Application is subject to HCGA Board of Directors approval.


Signature:

Please leave this field empty.

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