BDAG Yearly Membership Application or Renewal
Bellarine Dog Activities Group Inc.
Reg. No. A0034587K

Positively helping the community to make better canine citizens.

Our website: www.bdag.com.au

This form: www.tiny.cc/bdagmember

Year of Membership *
Have you previously been a member of BDAG? *
CONTACT DETAILS
Title (Mr, Ms, Dr etc.)
Your answer
First Name *
Your answer
Last Name *
Your answer
If applying for family membership, names of additional family members that wish to join
Your answer
Address
Your answer
Telephone *
Your answer
Email *
Your answer
Dog(s) Details
Name of dog 1 *
Your answer
Age of dog 1 (specify years or months of age) *
Your answer
Sex of dog 1 *
Breed type of dog 1 (e.g. Beagle) *
Your answer
Comments about previous training of dog 1.
Your answer
Name of dog 2
Your answer
Age of dog 2 (specify years or months of age)
Your answer
Sex of dog 2
Breed type of dog 2 (e.g. Beagle)
Your answer
Comments about previous training of dog 2
Your answer
FEES
MEMBERSHIP RENEWAL: For next 12 months commencing 1 Feb to 31 Jan each year.
Single: $20, Family: $30.
A 'family' means people who are directly related (e.g. Parent and child) and/or living at the same address (e.g. de facto partner).
Yearly Membership
Payment information
Bank deposit/direct transfer. BSB: 063512 Account: 10956718
(For customer reference: add your name and what the payment is for. E.g. "J Blogs 2019 membership").
Payment method *
Terms of membership
I/we agree to be bound by the rules and bylaws of the Bellarine Dog Activities Group, for the time being in force.
I/we also agree to be party only to dealings that will reflect favourably on the Bellarine Dog Activities Group. Membership is subject to Committee ratification.
We understand that the Club will not be held responsible for any damage inflicted by the action of my/our dog or damage caused either to myself/ourselves or my dog/s whilst in attendance at Club training.
I have read the Terms of membership stated above and will abide by these terms. *
Required
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