Sno-King Agility Club, Inc.

MEMBERSHIP APPLICATION (Please Print)

Name Address City State Zip Phone Email Occupation Breed(s) of Dogs Owned Agility Experience Other Dog Training Experience Which Agility Venue(s) Do You Currently Compete In? ■ AKC ■ NADAC ■ USDAA ■ UKC ■ CPE ■ TDAA Other Do you belong to any other dog clubs? ■ Yes ■ No What are they?

Indicate your interests or capabilities. Participating in the following Sno-King Agility Club Activities: ■ Classes ■ Demos ■ Practices ■ Seminars ■ Trials ■ Workshops ■ Competing with dog ■ Serving as Officer, Board Member or Committee Chair ■ Instructing or assisting classes ■ Developing programs for meetings ■ Helping with newsletter ■ Computer with desktop publishing capability and/or scanner ■ Web Site design and maintenance ■ Vehicle that could transport equipment ■ Woodworking shop, tools and/or skills ■ Other

The purpose of the Sno-King Agility Club, Inc. is to promote agility by active participation of its members in community-held trials, demonstrations, workshops, seminars, classes and meetings. Attendance at 50% of regular meetings and participation in club activities, as specified in the Standing Rules, should be met for active membership.

I certify that I will abide by the By-Laws, rules and decisions of the Sno-King Agility Club, Inc. I will do all in my power to protect and advance the interests of agility training and responsible dog ownership.

I agree to hold Sno-King Agility Club, Inc. and its personnel, while acting within the scope of their duties, harmless of actions, demands and claims, including the cost of their defense, arising in favor of the dog participant and third parties on account of personal injuries, death or damage of property arising out of any activities of the Sno-King Agility Club, Inc.

Signed Date

Sponsor (1) Sponsor (2)

Check for appropriate dues is to accompany Membership Application. Dues are $20.00 for Regular Membership or Associate (non-voting) Membership; $30.00 for Family Membership; $15.00 for Junior Membership (under age 18) and Honorary (no dues required). Make check payable to Sno-King Agility Club, Inc. and mail to Cathy Sabid, Membership Chair, 8724 E. Lowell-Larimer Road, Snohomish, WA 98296.

For Club Use Only Dues Paid ______Check Number ______Cash ______1st Reading ______2nd Reading ______