Montgomery Alabama Dog Obedience Club, Incl

Montgomery Alabama Dog Obedience Club, Incl

MONTGOMERY ALABAMA DOG OBEDIENCE CLUB, INC

MEMBER APPLICATION

APPLICATION FOR (CHECK ONE) GENERAL MEMBERSHIP (18 yrs of age or older) JUNIOR MEMBERSHIP (12-17 yrs)

NAME: HOME PHONE:

SPOUSE NAME: WORK PHONE:______

ADDRESS:CELL PHONE:______

OCCUPATION: E-MAIL:______

NUMBER OF DOGS OWNED:

BREED(S) OF DOG(S) owned: ______

Revised October 2015

Revised October 2015

Have you trained a dog to the Novice 1 level or obtained a leg towards a title? If so, please list when, where, and with what dog(s) you trained or obtained such title.

Revised October 2015

I HEREBY AGREE TO CONTINUE TO ABIDE BY THE CONSTITUTION AND BYLAWS OF THE MONTGOMERY ALABAMA DOG OBEDIENCE CLUB, INC. AND THE RULES OF THE AMERICAN KENNEL CLUB.

Signature:______Date:______

Amount Due

Annual Dues / $25.00
Donation to Trophy Fund
Donation to Building Fund
Total
Add Renewal Fee if mailed after 1 Jan - $20
Total after 1 Jan

NOTE: MADOC bucks cannot be used for Annual Dues or Donations.

Please mailBOTH pages of this Application, along with a checkfor the total amount due, payable to

MADOC

Attention: Membership Renewal

P.O. BOX 241564

MONTGOMERY, ALABAMA 36124-1564

Renewal dues must be paid by January 1st or Membership privileges will be suspended (including the reduced class fee). A $20 renewal fee will be charged to reinstate member privileges.

Continue on next page, please

VOLUNTEER OPPORTUNITIES

MADOC is an organization of volunteers. Without our members assisting regularly, we cannot provide our services to the public. Please do not leave this section blank! Select at least one VOLUNTEER area in which to actively participate. (Memberwill be contacted if this section is missing or blank.) Assistance and on-the-job-training will be provided for each area as needed:

Instructing/Assisting inTeaching:
_____Agility
Obedience
Rally
Equipment Care & Maintenance:
Agility equipment & Field
Obedience Equipment & Room / Assisting at Trials:
Agility
Obedience
Rally
Agility Trial Chair
_____ Agility Trial Secretary
Obedience Trial Chair
Obedience Trial Secretary / Other Committees:
Enrollment (maintain class rosters, fill classes, register students)
Fundraising
Hospitality
Publicity
Trophies
Other:

Revised October 2015

Revised October 2015

AREAS OF INTEREST

Please check any of the following areas you may be interested in:

Showing in:
____Agility
Obedience
Rally / Participating in:
Community Events (such as Demos, Walk&Wag, Bark in the Park)
Nursing Home or Hospital Visits
Other Interests:

Secretary use only please:

Date Received
Date approved by board
Date approved by membership
Check Number/Amount
Dues Amount
Trophy Amount
Building Fund Amount
Date Membership Roster Updated

Revised October 2015