Membership Registration Form Membership Form Use this form to register as a member of the Cambridge Dog Club. After you submit the form, please go to your bank and pay online. Membership TypeMembership Type*Full year memberships run from the 1st of April to the 31st of March, while half year memberships run from 1st October to 31st March. If you are in a relationship with a club member but will not be training with the club, please select Associate MembershipSingle Full Year - $40Single Half Year - $25Junior (under 21) Full Year - $20Junior (under 21) Half Year - $10Senior (over 65) Full Year - $20Senior (over 65) Half Year - $10Associate Full Year - $20Associate Half Year - $10HiddenPlease choose from the following memberships:* Single Membership: $40.00 April to March From: 1st October $25 Junior (Under 21) Membership: $20.00 April to March From: 1st October $10 Senior (65 and over) Membership: $20.00 April to March From: 1st October $10 Associate Membership: (Where an associate is in a 'legal' relationship ie marriage/defacto with a 'single' member but will not be training at the club) - $20.00 April to March From: 1st October $10 Member DetailsFull Name* Address* Street Address Address Line 2 City ZIP / Postal Code Email Home phoneWork PhoneMobile PhoneAgilityDog DetailsDog Name* Dog Registration*Is/are your dog(s) currently registered? Yes/No Yes, my dog/s is/are registered Vaccination*Is/are your dog(s) currently vaccinated? Yes/No Yes, my dog/s is/are vaccinated Payment DetailsTo pay for your membership, please transfer the total amount into the account 03-1568-0041221-00 with your name as reference.Total To Pay $ 0.00 Please ReadPlease ensure you read and understand the following conditions of membership.I/we accept the club, or anyone acting officially on behalf of the club will not be held responsible for injury to my dog or myself while on the club grounds. I affirm that to the best of my knowledge, my dog is sound in body and fit to participate in obedience and/or agility. I understand that under the N.Z.K.C regulations my dog must be 18 months or over to be eligible to participate in any agility training on the club grounds (unless under direct instruction in the pre-agility class). I agree to abide by the rules of the club. I understand that as a club member I am expected to help at our club’s shows and working bees. Registration Year*Please select today's date DD slash MM slash YYYY Name First Last CommentsThis field is for validation purposes and should be left unchanged.
