Paid_________

RV due___________

DHL due__________

SCHENECTADY DOG TRAINING CLUB, INC.

CLASS/MEMBERSHIP APPLICATION
I am interested in becoming a member of the Schenectady Dog Training Club, Inc. and wish to apply for a place in class. I understand that only completed applications including shot records (distemper and rabies vaccination); fees - $20 membership dues, prorated to $10 after July 1 AND $75 new dog fee for 8 week session or $40 for 4 week session; and signed waiver will be accepted. I further understand that enrollment is on a “first come, first served” basis and only those that have submitted completed applications may be placed into a class.

I wish to enroll in:

_____Primary (dogs 6 months or older)

-- OR --

_____Kindergarten Puppy Training (pups under 6 months)

-- or --

_____Beginning Agility (Call for availability)

-- OR -- (prior approval required for the following classes)

_____ Secondary _____Novice _____Open _____Utility _____Other

Attendance at orientation is required for membership acceptance.

INFORMATION ON THE PERSON DOING THE TRAINING
Name____________________________________Home Phone__________________________

Address__________________________________ Work Phone___________________________

_________________________________________E-mail________________________________

How did you hear about SDTC?_____________________________________________________

DOG INFORMATION
Name__________________________________Date of Birth_____________________________

Breed__________________________________Male___Neut.Male___Female___Sp.Female___

I have read the enclosed information and understand the terms of my acceptance into SDTC, Inc. Signature___________________________________________Date________________________

Please return this application to: Enclose with application:

If you have questions regarding this process, please call Gaye at 357-4014.