<p> Lichfield And District Dog Training Society Membership Form: 2016 To be completed by new/existing member. *Please delete inapplicable For Club Use Only: Surname:………………………………………………………………………… Mr / Mrs / Miss / …………. Date Received: ……/……/……</p><p>Forename(s):……………………………………………………………………… Senior Citizen: * YES / NO Total Received: £……………. * Cash / Cheque / Postal Order Joint/Family Names:……………………………………………………………. Senior Citizen: * YES / NO Membership Fee: £…………… ………………………………………………………………………………………Under 16: * YES/NO Family membership = Two adults plus children under 16. Insurance: £……………</p><p>Full Postal Address:………………………………………………………………………………………………. Course Fee: £……………</p><p>………………………………… ………………………………….Post Code:………………………………… Section</p><p>Telephone No: …………………………………….Email:…………………………………………………….. Agility…………………………</p><p>Competitive…………………… Signed:…………………………………………………………………… Date:………………………………. Renewals Only: Have any of the above details changed from last year? * YES / NO Flyball………………………..</p><p>Citizen/Pet Handlers………………</p><p>Dogs Pet Name Breed Dog / Bitch Dogs Pet Name Breed Dog / Bitch</p><p>Detach and return to Member To be completed by a Club Official. Lichfield And District Dog Training Society Membership Receipt : 2016 Club membership runs from 1st January through to the 31st December. The following dates refer to when the membership is paid. Joint members must live at the same address.</p><p>Fees when 1st January and 30th Single £7.50 Joint £10.00 paid between: June (Plus £2.00 insurance per person) (Plus £2.00 insurance per person) Total - £9.50 Total - £14.00 or between: 1st July and 31st Single £3.75 (Plus £2.00 insurance Joint £ 5.00 October per person) (Plus £2.00 insurance per person) Total - £5.75 Total - £9.00 or between: 1st November and 31st Single £7.50* Joint £10.00* December (Plus £4.00 insurance) (Plus £8.00 insurance) Total - £11.50 Total - £18.00</p><p>Senior Citizens and Children under 16 £2.00 each per calendar year (For Children Under 16 a Parent or Guardian MUST be the main member) Family Insurance £5.00 (please ask for details)</p><p>*Membership paid between 1st November and 31st December is carried over for the following year; and therefore two insurance premiums, e.g Single £4.00, Joint £8.00, must be paid.</p><p>TO BE COMPLETED BY A CLUB OFFICIAL:</p><p>Received with thanks from …………………………………………………………………………….. the sum of £ . </p><p>*Cheque / Cash / Postal Order Accepted by:……………………………………………… Date:…………………………………………..</p><p>************************************ PLEASE KEEP THIS RECEIPT AS PROOF OF PAYMENT ************************************** Training Ground Rules: No dogs are allowed on the training area except when being trained. All exercising to be done on the ground surrounding the training area. All dogs to be kept on a lead, except when under trainers instruction. Owners must not bring in-season bitches for training. Dogs are at all times the responsibility of their owners. Dogs or handlers are not allowed on the Football Pitch. All handlers are responsible for removing all foulings of their dogs from any part of the ground. Help keep our venue!</p>