FAMILY MEMBERSHIP
MEMBERSHIP RENEWAL 2026/2027 - 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 1: Are you a ADAA Member (Please provide number):
Adult Member 2: Are you a Dogs NSW Member? (Please provide number):
Adult Member 2: Are you a ADAA Member (Please provide number):
Child Member 1: Are you a Dogs NSW Member? (Please provide number):
Child Member 1: Are you a ADAA Member (Please provide number):
Child Member 2: Are you a Dogs NSW Member? (Please provide number):
Adult Member 2: Are you a ADAA Member (Please provide number):
Back
Next
Which Session do your currently train in?
*
Please Select
Session 1 (Early)
Session 2 (Late)
Both Sessions
Currently not training
List your dogs Information below:
Rows
Dogs Name: (Call Name)
Dogs Age:
Dogs Breed:
Dogs Sex:
Neuter Status:
DOG 1
DOG 2
DOG 3
DOG 4
DOG 5
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.)
Towing! (Urgently needed! - Trailers are needed to brought out each week. FULL TRAINING PROVIDED & Trailers fixed for all sizes of car hitches.
Instructing (Most rewarding! 😊) - Ready to Teach a Lower class
Trainee Instructor (Shadow/Assist current instructors to build confidence).
Committee 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.
Catering for Trial/Competition: Provide a meal or two on our trial days for Judges & Officials.
Other
Back
Next
I/We agree to be bound by the Constitution, Rules, Regulations, Terms & Conditions, policies, and operational decisions of the Association, acknowledge that participation is at my/our own risk, indemnify the Association and its representatives against any claim, loss, damage, or injury suffered by me/us or my/our dog(s) except where liability cannot be excluded by law, consent to my/our information being recorded on the Association register and made available to relevant governing bodies including Dogs NSW and ADAA unless otherwise requested in writing, and confirm that I/we have read and understood the Association’s governing documents available at https://www.agilitydogclubnsw.com.au/keydocuments
*
Agree
RENEWAL PAYMENT
*
prev
next
( X )
FAMILY Membership
Annual subscription renewal - Agility Dog Club of NSW Inc.
$325.00 AUD
$
325.00
AUD
Quantity
1
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Submit
Should be Empty: