Application for Membership I/we are applying to be a member of PDTC Individual Member - An Adult Member Household Member - Two (2) or more adult Members living at the same address Individual or 1st Household Member Occupation Email Phone Street City State Zip Breed of Dogs 2nd Household Member Occupation Email Phone Breed of Dogs You must complete two (2) classes beyond Puppy-K to apply for membership. If a household membership, only one applicant must have completed two (2) class beyond Puppy-K. Please indicate the appropriate course and date(s) they were taken: Course 1 BeginnerIntermediate AdvancedRallyCompetition NoviceCompetition OpenCompetition Utility Date of 1st Course Course 2 BeginnerIntermediate AdvancedRallyCompetition NoviceCompetition OpenCompetition Utility Date of 2nd Course We need the help of ALL Training Members to effectively run our Club. As a Training Member, you agree to perform one task annually to benefit the Club and if you can't, you agree to make a $100.00 donation to the club. I have read and agree to MY AGREEMENT WITH PDTC. (Keep for your information) My last PDTC instructor confirms that I meet the requirements for membership. Signature of Individual or 1st Household Member Date Signature of 2nd Household Member Date SUBMIT
