FAMILY MEMBERSHIP
MEMBERSHIP RENEWAL 2025/2026 - 2 ADULTS/2 CHILDREN UNDER 16YRS
Name of Adult Member 1:
*
First Name
Last Name
Email of Adult Member 1:
*
example@example.com
Mobile Phone of Adult Member 1:
*
Please enter a valid phone number.
Format: 0000 000 000.
Name of Adult Member 2:
*
First Name
Last Name
Email of Adult Member 2:
*
example@example.com
Mobile Phone of Adult Member 2:
Please enter a valid phone number.
Format: 0000 000 000.
Name of Child Member: 1
First Name
Last Name
Name of Child Member 2:
First Name
Last Name
Address (Must reside at same address):
*
Street Address
Street Address Line 2
City
State
Post Code
Adult Member 1: Are you a Dogs NSW Member? (Please provide number):
Adult Member 2: Are you a Dogs NSW Member? (Please provide number):
Child Member 1: Are you a Dogs NSW Member? (Please provide number):
Child Member 2: Are you a Dogs NSW Member? (Please provide number):
Adult Member 1: Are you a ADAA Member (Please provide number):
Adult Member 2: Are you a ADAA Member (Please provide number):
Child Member 1: Are you a ADAA Member (Please provide number):
Adult Member 2: Are you a ADAA Member (Please provide number):
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Which Session do your currently train in?
*
Please Select
Session 1 (Early)
Session 2 (Late)
Both Sessions
Currently not 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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FAMILY Membership
Annual subscription renewal - Agility Dog Club of NSW Inc.
$
325.00
AUD
Quantity
1
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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