New Membership Application

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If you would prefer to mail in your application, you can download our Membership Form and Waiver.

PWDCGC New Membership Application

* Indicates required field

Member Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Membership Types:

$40 Single Membership (one vote)
$45 Family Membership (up to 2 votes)
$35 Associate Membership (may not vote or be elected to board)

I/We would like a: *

Single Membership Family Membership Associate Membership

Club Sponsor #1 *

Club Sponsor #2 *

PWD Call Name(s) *

Event Sponsor Donations *

Platinum - $150 Gold - $100 Silver - $60 Bronze - $25 Other

The PWDCGC is a volunteer driven club. The Club expects and appreciates your help! What Club activities/committees will you participate in and/or help organize?

Choose Any *

Dog Shows Grooming Seminars Event Planning Rescue Water Work Fund Raising Website PWDCGC Board of Directors Health Clinic Newsletter Merchandise/Sales Other

Liability Release *

I have read the Club's liability waiver and agree to abide by its Terms and Conditions

Submit

The Liability Release is available here: pwdcgc_liability_release.pdf This form must be filled out and submitted to Gary Novak at [email protected]

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Home
About Us
Events
PWD Sports
Contact US
Find a PWD
PWDCA Rescue