2019 Membership Form
Please fill out and bring membership payment to your first practice (cash or check made payable to "Gateway Dockdogs")
Email address *
Referred By:
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Membership Level (Cost will be prorated 50% after August 1st)
Gold Membership = $100 per family and unlimited number of dogs. Silver Membership = $30 per family and one dog ($10 per each additional dog). Trial Membership = $10 Includes the opportunity to attend only ONE Gateway Dockdogs practice. Youth Membership = Free per youth handler. Lifetime Membership = $500 (or 5 consecutive years as Gold Member) per family and unlimited number of dogs for the rest of your life.
First Name
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Last Name
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Additional Household Members - First Name
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Additional Household Members - First Name
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Additional Household Members - Last Name
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Additional Household Members - Last Name
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Dog #1 Name
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Dog #1 Date of Birth
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YYYY
Dog #1 Breed
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Dog #2 Name
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Dog #2 Date of Birth
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DD
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YYYY
Dog #2 Breed
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Dog #3 Name
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Dog #3 Date of Birth
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DD
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YYYY
Dog #3 Breed
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If additional Dogs (3+) enter their information here
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Method of Payment:
As a member in good standing, I agree to adhere and uphold the By-laws of Gateway DockDogs and to promote good sportsmanship while acting as a representative of Gateway DockDogs.
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