Dog Club Membership Application & Renewal

Circle City Air Dogs Membership Application

Apply for your membership, provide your and your dog's information, and complete payment. Membership is for 1 year (January to December) for the family. Each person who plans to be on the dock must have a waiver on file.
Member Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Dog Registration*
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Signature (Please sign to acknowledge club policies and agreements)*

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1 year club Membership
$75.00 Quantity

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$0.00
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Circle City Air Dogs Membership Application