BDAG 2020 Term Registration for existing members
Contact bdag.training@gmail.com with any queries.
Which BDAG term is this form for? *
Your details (BDAG members)
First name *
Your answer
Last name *
Your answer
Telephone *
Your answer
Email *
Your answer
Mailing address
Your answer
Name of your emergency contact *
Your answer
Phone number of your emergency contact *
Your answer
Dog(s) details
Dog 1: Name *
Your answer
Dog 1: Current BDAG Class and training time *
Your answer
Dog 1: Any special requests for the upcoming term?
Your answer
Dog 2: Name
Your answer
Dog 2: Current BDAG Class and training time
Your answer
Dog 2: Any special requests for the upcoming class term?
Your answer
Term fees per dog. Each term runs for 8 weeks.
Please pay by Direct Deposit.
Commonwealth Bank BSB: 063512 Account Number: 10956718.
Reference: First name initial, Last name, and Term number.
E.g. Joe Bloggs, Term 4 would be: "JBloggs T4"
Payment due *
Required
Payment method *
Required
Additional comments/requests?
Add your additional comments or requests here (if needed)
Your answer
Agreement
I realise that class placings are on a first-pay, first-in basis. It is my responsibility as a member to complete this form and make my term payment. I agree to be bound by the rules and bylaws of the Bellarine Dog Activities Group - these can be found on our website www.bdag.com.au/about/committee. I also agree to be party only to dealings that will reflect favourably on the Bellarine Dog Activities Group. I agree that the information on this form will be made available to BDAG Club officials and Instructors as necessary for the purpose of training my dog(s). *
Required
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