2022 Membership Application
Paws4Fun Agility
Member Name (Primary Contact)
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First Name
Last Name
Application Date
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Month
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Day
Year
Date
Last Day for Renewals
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Month
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Day
Year
Date
First Day of Mid-season Rate
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Month
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Day
Year
Date
Last Day of Full-season Rate
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Month
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Day
Year
Date
Junior Member?
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Yes
No
Junior Handler's Date of Birth
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Month
-
Day
Year
Date of Birth
If Junior Member, Name of Responsible Adult
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First Name
Last Name
Primary Contact Email
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example@example.com
Primary Contact Phone Number
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Area Code
Phone Number
Primary Contact Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Select Membership & Payment Type
The fee structure for members is based on the expectation that the member(s) will contribute a minimum number of volunteer hours. See web site for details
New or renewing member?
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Renewing Member
New Member
Single or Family Membership?
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Single
Family
Single Membership
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$70.00 = commit to minimum volunteer hours in 2022
$150.00 = waive volunteer commitment in 2022
Single Membership, Renewal (discount based on 2021 volunteer hours registered)
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$0.00 = 100% discount
$17.50 = 75% discount
$35.00 = 50% discount
$52.50 = 25% discount
$70.00 = commit to minimum volunteer hours in 2022
$150.00 = waive volunteer commitment in 2022
Family Membership
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$100.00 = commit to minimum volunteer hours in 2022
$200.00 = waive volunteer commitment in 2022
Family Membership, Renewal (discount based on 2021 volunteer hours registered)
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$0.00 = 100% discount
$25.00 = 75% discount
$50.00 = 50% discount
$75.00 = 75% discount
$100.00 = commit to minimum volunteer hours in 2022
$200.00 = waive volunteer commitment in 2022
Single Membership, Mid-year
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$50.00 = commit to minimum volunteer hours in 2022
$100.00 = waive volunteer commitment in 2022
Family Membership, Mid-year
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$85.00 = commit to minimum volunteer hours in 2022
$150.00 = waive volunteer commitment in 2022
Payment Method to be used, renewing member
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e-transfer to treasurer@paws4funagility.ca - use security question "Membership club?" with answer "paws4fun"
PayPal - use the PayPal button on the Paws4Fun website at www.paws4funagility.ca membership page
No payment (100% discount)
Other (please explain in comment box below)
Payment Method to be used, new member
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e-transfer to treasurer@paws4funagility.ca - use security question "Membership club?" with answer "paws4fun"
PayPal - use the PayPal button on the Paws4Fun website at www.paws4funagility.ca membership page
Other (please explain in comment box below)
Comment (anything else you would Paws4Fun to know)
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Enter Membership Details
Use the "+" to add additional entries, and the "x" at the end of a row to delete an entry.
Add your additional family members:
Add your dog(s) information:
Membership Directory
We distribute a Paws4Fun Membership Directory to all our members by email, which is for personal use only and cannot be shared with non-members or other third parties outside Paws4Fun Agility. Your name will be included in the Directory. By filling in your name below you provide consent for us to share the other details you select below in the Directory.
Please include in the Membership Directory:
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Only my name
All my information
I would like to select which information will be included
Select your information in the Paws4Fun Member Directory:
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Dog information
Email address
Postal address
Phone number
By entering my name here I agree to share the information above in the Paws4Fun Agility Membership Directory for 2022
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First Name
Last Name
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Submit Your Application!
After you read and agree to the important stuff.
Terms & Conditions
Membership provides benefits and responsibilities for members. See the membership page under "About" at www.paws4funagility.ca (club website) for member benefits. Responsibilities include care for the premises and equipment, respect for fellow members and their dogs, for visiting competitor and training teams and for club and event officials, as well as the contrbution of a minimum number of volunteering hours required by the club. The following is directed to the adults (18 years of age and over) named in this membership application. Paws4Fun Agility requires all adults named in this membership application to be the signatories to the following terms. "We", "our" and "ourselves" refers to the named adult(s) and to the named junior handler(s). We assume responsibility for the conduct of our family members under 18 years of age, friends who accompany or visit our family on club premises and all dogs our family and friends bring to club premises and venues. We commit to respecting the Rules of Conduct posted at the club website. We accept, for ourselves and juniors listed above, the obligation to provide and register the minimum volunteering time required of us before the end of this calendar year unless chosen fee waives this obligation. We acknowledge that Paws4Fun has banned the use of retractable leashes on the property. We have consulted the Volunteers & Support page on the club website and understand how our volunteer time requirement can be satisfied and how we may qualify for the Frequent Volunteer Reward Program. We also understand that if we do not register the minimum hours required of us, we may be subject to a penalty applied to next year's membership renewal fee. We agree to receive volunteering and other club activity notices and announcements by email at the address provided.
Standard Waiver & Release
We agree that Paws4Fun Agility has the right to refuse this application for cause which the organization deems to be sufficient. In consideration of the acceptance of this application for membership, we agree to hold Paws4Fun Agility, including its officers, directors and the premise land owner, harmless from any and all claims for injury, death, property damage or any other loss which may be alleged to have been caused by the act of our dog(s) while in or upon any club premises or adjacent grounds, and we personally assume all responsibility and liability for any such claim. We further agree to hold the aforementioned parties harmless from any claim for loss of our dog(s) by disappearance, theft, death or otherwise, and from any claim for damage or injury, be it caused or alleged to be caused by negligence of the parties aforementioned, or by the negligence of any other person, or any other cause or causes. We hereby assume the sole responsibility for and agree to indemnify the same aforementioned parties from any and all loss and expenses (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting there from, sustained by any person or persons, including ourselves or on ac- count of damage to property, arising out of or in consequence of our participation in any club event, howsoever such injuries, death or damage to property may be caused or may have been alleged to have been caused by negligence of the aforementioned parties or any of their employees or agents, or any other person.
COVID-19 Pandemic Waiver & Release
I attest that I will enter any Paws4Fun Agility Club property or facility only if, to the best of my knowledge, in the 14 days prior to entering the property or facility: - I have not had COVID-19, or symptoms of that virus - I have not been in contact with anyone who has had COIVD-19 or symptoms of that virus - I have not travelled outside of Canada - I have not been in contact with anyone who has travelled outside of Canada in the past 14 days. I have read and will follow the Paws4Fun COVID-19 Pandemic Rules at the Paws4Fun website at https://www.paws4funagility.ca/covid-19-pandemic-rules I will follow the municipal, provincial and federal guidelines for COVID-19. I will comply with any changes of the Paws4Fun Agility Club or government COVID-19 guidelines. I agree to participate at my own risk in relation to COVID-19. I do not hold Paws4Fun Agility Club or its volunteers, coordinators, instructors, judges or board members responsible for contracting COVID-19. This waiver applies from date of signing until December 31, 2022. I will advise Paws4Fun Agility if there are any changes to my health, or those I have been in contact with, as related to COVID-19 within 14 days of my having been at a Paws4Fun Agility Club property or facility.
By entering my name here I acknowledge that I have read and agreed to the "Terms & Conditions", "Standard Waiver & Release", and "COVID-19 Pandemic Waiver & Release" above
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First Name
Last Name
Please verify that you are human
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Date
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Month
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Day
Year
Date
Submit
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