New Member Registration
Email
*
example@example.com
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
Suburb
State
Postcode
Dogs NSW Membership (optional)
Dogs NSW is a governing body representing dog sporting activities in NSW. Information can be found at www.dogsnsw.org.au
Additional Family Members authorised to train the dog/s (Handlers must be over 12 years of age)
Given Name
Family Name
Dogs NSW No.
Family Member 1
Family Member 2
Family Member 3
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Emergency Contact (CAN NOT BE A PERSON LISTED ABOVE)
Please list someone NOT attending training who can collect your dog, motor vehicle or possessions in the event of an emergency. Towing of vehicles or council/pound fees will be at the expense of the owner if no one can be contacted.
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
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Dog Information
Dogs Name
*
Breed of Dog
Is the dog older than 4 months (16 weeks) of age?
*
Please Select
Yes
No
Is your dog aggressive towards
*
Please Select
Other Dogs
People
Other Dogs & People
Not Aggressive
Unsure
Due Date of Vaccination
*
-
Month
-
Day
Year
All dogs are required to be vaccinated to train. (C3 to C8)
Copy of Vaccination (if available)
Browse Files
Drag and drop files here
Choose a file
Membership will not be finalised until the most recent vaccination has been sighted
Cancel
of
Additional Dog
*
Yes
No
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Dog Information 2
Dogs Name
*
Breed of Dog
Is the dog older than 4 months (16 weeks) of age?
*
Please Select
Yes
No
Is your dog aggressive towards
*
Please Select
Other Dogs
People
Other Dogs & People
Not Aggressive
Unsure
Due Date of Vaccination
*
-
Month
-
Day
Year
All dogs are required to be vaccinated to train (C3 to C8)
Copy of Vaccination (if available)
Browse Files
Drag and drop files here
Choose a file
Membership will not be finalised until the most recent vaccination has been sighted
Cancel
of
Additional Dog
*
Yes
No
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Next
Dog Information 3
Dogs Name
*
Breed of Dog
Is the dog older than 4 months (16 weeks) of age?
*
Please Select
Yes
No
Is your dog aggressive towards
*
Please Select
Other Dogs
People
Other Dogs & People
Not Aggressive
Unsure
Due Date of Vaccination
*
-
Month
-
Day
Year
All dogs are required to be vaccinated to train (C3 to C8)
Copy of Vaccination (if available)
Browse Files
Drag and drop files here
Choose a file
Membership will not be finalised until the most recent vaccination has been sighted
Cancel
of
Any additional dogs please provide details to registrar
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Annual Membership
*
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Membership Registration
$
30.00
AUD
Credit Card
Submit
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