Send to:
Shelley Schweinsberg, Treasurer
1019 Route 68
New Brighton, PA 15066
I (WE) the undersigned do agree to have MY (OUR) information from the
membership directory of Beaver County Kennel Club (BCKC) added to the
Breeder Referral portion of the BCKC Website.

I (WE) understand that publishing such information on an internet website
makes that information open to public scrutiny and I (WE) agree to hold
Beaver County Kennel Club blameless for any and all problems that may
arise due to the publication of information.

I (WE) understand that requests for any new information to be added to this
website must be made in WRITING and addressed to Shelley Schweinsberg,
Treasurer and to Chris Gaburri.

I (WE) understand that requests for any correction(s) or removal of existing  
information from this website are made by email to Bill Hunter, Webmaster
(wlhuntersr@comcast.net).

All website information will be removed upon termination of membership.

Name(s)_______________________________________________________

Signature(s)__________________________________________________

(All new Parties to be listed on the website MUST sign ~ E-mail Waivers Will
NOT be accepted)

Date____________
WEBSITE BREEDER REFERRAL RELEASE FORM
If you would like to
have your name and
contact information
included on our BCKC
Website Breeder
Referral you must be a
member in good
standing of BCKC. You
are REQUIRED to
complete and sign this
information release
form and return it to
Shelley Schweinsberg,
Treasurer and Chris
Gaburri.

Just as a reminder,
even if you have
completed a release to
have your information
included on the Steel
Valley Cluster Website
you will have to fill out
a NEW ONE for the
BCKC site.

Your name will not be
included without a
signed release on file.
You can print this
release and mail it to
Shelley and Chris at
the addresses listed on
the right.
Website Information Release Waiver
Send to:
Chris Gaburri
457 Orchard Avenue
Pittsburgh, PA 15202