CLUB MEMBERS

—— BECOME A MEMBER ——

MEMBERSHIP APPLICATION

    First and Last Name


    Address

    ——————-
    1st Dog Info
    Previous Dog Training Experience (include Clubs, Classes, Schools, Locations)

    Dog Name


    Dog Breed


    Birthday

    Second Dog Info
    Previous Dog Training Experience (include Clubs, Classes, Schools, Locations)

    2nd Dog Name


    Dog Breed


    Birthday

    3rd Dog Info
    Previous Dog Training Experience (include Clubs, Classes, Schools, Locations)

    Dog Name


    Dog Breed


    Birthday

    Club Member Sponsors *Please include names of club members with application. (not necessary for renewals)
    *I verify that these “club members” have my permission to list them as my sponsors for this Membership Application.

    Club Member Sponsor #1


    Club Member Sponsor #2



    Signature(s)

    Would you like to serve on a committee?
    YesNo

    ———————————————————
    YesNo I (We) agree to abide by the Constitution and By-Laws of the Whitewater Valley Dog Training Club, Inc. I (We) agree to hold this Club, its members, directors, officers, and the owner or lessor of the premises and any employees of the aforementioned parties, harmless from any claim or loss or injury which may be alleged to have been caused directly to any person, thing or dog while in or upon the premises or grounds. I (We) personally assume all responsibility of any such claims.

    Payment Method (see Payment Options below)



    —————————————————————–
    Club USE ONLY
    Application Received _____________________________
    Application Approved: Yes. No.
    Membership Packet Delivered: Yes. No.
    Payment Received: ________________________________

     

    Select Your Membership Option and submit Payment to our PayPal Account.

    OPTIONAL: Submit a Hardcopy of Application and Pay Locally

    If you’d rather submit a hardcopy of the Application form, Please download, print and completely fill out your Application and bring it with you the next time you are at the club.