Level A
SINGLE MEMBERSHIP RENEWAL 2025/2026
Name
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First Name
Last Name
Email
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example@example.com
Address
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Street Address
Street Address Line 2
City
State
Post Code
Mobile Phone Number:
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Please enter a valid phone number.
Format: 0000 000 000.
Are you a Dogs NSW Member? (Please provide number):
Are you a ADAA Member (Please provide number):
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Which Session do your currently train in?
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Please Select
Session 1 (Early)
Session 2 (Late)
Both Sessions
Not currently training
List your dog or dogs name, sex, age, breed & neuter status:Eg: Pickle, Male, 5, Border Collie, Intact or Desexed (Separate by comma).
*
ADC Helpers! - ADC has been operating for over 30 Years by a group of dedicated volunteers who give up their time to share, grow and develop a love of Agility for you and your dogs. HOW CAN YOU give back to the ADC community? And earn ADC Dog Dollars along the way? (Ask us about the ADC Helpers Scheme.)
Instructing (Most rewarding! 😊)
Trial Assistant Secreatry
Trailer Towing (Needed!!)
ADC Committee - Office Bearer
ADC Committee - Ordinary Member
ADC Sub-Committee Member (Trial Committee, Equipment, Sponsorship, Demonstrations etc.)
I want to help just ask! Happy to do anything!
Competition Event Helper (Stewarding, Scribing, Comp Check In, Field Setup).
Billeting - Hosting a Judge for a night or two for our Competitions.
Other
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I/We hereby agree to observe and perform and, in all respects, to conform to and be bound by the Constitution and all Terms & Conditions and Regulations, including the Operating decisions of the Association. I/We indemnify the Association against any claim for damages or injury suffered by me/us or my/our dog(s) however caused. I/We understand that my/our information will be added to the Association's register and available for inspection (i.e., Dogs NSW /ADAA) unless I/we have requested otherwise to the Association’s secretary in writing. I/We agree that I/We have read the Association's Constitution and all other documents as set forth on the Association's website, a copy of which can be found at https://www.agilitydogclubnsw.com.au/keydocuments
*
Agree
RENEWAL PAYMENT
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( X )
Level A - Single Renewal
Annual Membership = $150, Re-joining fee = $30
$
180.00
AUD
Quantity
1
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