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MEMBERSHIP Application |
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To contact us: |
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What a Team! |
Membership Application Please cut and paste to word document, fill out the form, sign the waiver, and email as an attachment to Lee@dogrally.org or send by post to:Lee Brewer53 Pine View DrBluffton, SC 29910Proof of most recent vaccination must be provided with application. Bordetella requested.
Fee for Initial Membership: $35.00 ($15.00 for each additional dog, Note: Annual dues may be a separate fee.) Please sign waiver at bottom of page.
Name: ________________________________________________
Address: Street ________________________________________
City, St, Zip ________________________________________________
Telephone Home ________________________________________________
Mobile ________________________________________________
Email ________________________________________________
Dog Information: Please list each dog to be involved in Rally practice separately.
1. Dog’s Name ________________________________________________
Breed/Mix ________________________________________________
Age ____________________ Sex __________________
Spayed/Neutered Yes ___ No ___
AKC Registered Yes ___ No ___ APDT Registered Yes ___ No ___
Titles Earned ________________________________________________ Obedience training __________________________________________ |
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2 Dog’s Name ________________________________________________
Breed/Mix ________________________________________________ |