2025 Club Membership Renewal Form

Club Membership at BOTC
I wish to apply for my membership renewal in Bloomington Obedience Training Club (BOTC). I agree to volunteer at Club activities to further the growth of the Club. I also agree to abide by the Club Constitution and Bylaws of the American Kennel Club (AKC).
This application is for*

New Membership 2025Renewal 2025
Name*

First NameLast Name
Family Member #1 (For family membership only)

First NameLast Name
Family Member #2 (For family membership only)

First NameLast Name
Family Member #3 (For family membership only)

First NameLast Name
Family Member #4 (For family membership only)

First NameLast Name
Home Phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
Work Phone

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email #1*
example@example.com
Email #2
example@example.com
What type of training are you currently involved in?*

AgilityConformationFlyballObedienceRally
Have you done any formal dog training in the past?*

YesNo
If Yes to above (formal Training), what school?
Current Club Member who referred you:
Current Dog(s):
As a member of BOTC, you will receive:
- Discounts on Classes
- Advance Notice on BOTC Events
- Discounts on Selected BOTC Events
- Annual Awards for Titles Earned
- Annual BOTC Banquet Invitation
- Access to our Member Only Facebook Group
BOTC depends on volunteers like yourself, in order for us to continue the quality instruction and events that we provide. As a member of BOTC, I acknowledge that I must volunteer at a minimum of two events to qualify for a plaque or plate at the Annual Awards Banquet, held each January. Please indicate any activity for which you would be willing to help:
Volunteer section

Obedience Dog Show HelperAgility Dog Show HelperReceptionist (Desk Person)Instructor/HelperBOTC Club MaintenanceBOTC Newsletter ArticlesBuilding CleaningBOTC Website ContentBOTC Club DecoratingBOTC Event or Seminar OrganizerForms Administrator
Key holders only: By checking below I understand that I am also renewing my Key Usage Agreement contract

I agree
By checking the below box you agree to all the above information*

I agree
A copy of the Bloomington Obedience Training Club Bylaws will be available to you once your membership has been accepted by the club, upon your request. Your application will be read and voted upon at the first Board meeting of the Club following receipt.

My Products

Individual Membership$20.00

Family Membership$25.00

All members must reside in same household

Total $0.00

Credit Card

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Club Membership at BOTC

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