Membership

MEMBERSHIP APPLICATION / BEND AGILITY ACTION DOGS (BAAD)

BAAD is a non-profit organization to promote the sport of dog agility in Central Oregon.

Your Name(s)__________________________________________________________

Address_______________________________________________________________

City___________________________State_______________Zip__________________

Phone Numbers Home___________________ Work___________________________

Email Address________________________________

Name and Breed of Dog(s)________________________________________________

History and Experience in Agility____________________________________________

Membership Applied for: Individual_____ Household________ Limited__________

Number of Dogs to be Worked on Club Equipment_________________

For your dog’s protection, BAAD requires your dog to have DHLPP and Bordatella vaccinations.
State Law requires your dog’s Rabies vaccination be current.

I agree to abide by the BAAD Bylaws and Rules.

Signature(s)_______________________________________________Date_________

_______________________________________________Date_________

CLUB USE ONLY

Endorsed by_________________________________ Date______________________

Dues Received: One time equipment fee $75_______

Individual $50________Household $75___________ Limited_____________________

Last changed: 2/2/2011

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