Peninsula Dog Obedience Group Membership Application

Name: _______________________________________________________________

Address: _____________________________________________________________

City: __________________________________ Zip Code: ______________________

Occupation: ___________________________________________________________

Phone Home: _________________________ Work___________________________

E-mail: _______________________________________________________________

Dogs you own: Please list the breed or breeds, if a mix. _______________________

______________________________________________________________________

______________________________________________________________________

Have you attended organized obedience training classes?_______________________

Have you participated in a licensed obedience trial?____________________________

Titles you have earned: CD_______ CDX_______ UD_______TD_______ TDX_______ Agility_______________________ Herding_____ Hunt Tests_____Others? _________

Please check membership type and attach dues (club year is Oct.1 through Sept.30)
Regular Members Receive 10% Class Discount

_____Regular Membership: Individual $24.00 per year or $12.00 after May 1.
_____Family Membership: $36.00 per year or $18.00 after May 1
_____Junior Membership: (under 18 yr.) $12.00 per year or $ 6.00 after May 1
_____Associate Membership: $15.00 per year

I agree to abide by the by-laws and policies of the Peninsula Dog Obedience Group

Signature____________________________________ Date ____________________

Please give the completed form with attached dues to any PenDOG Instructor or one of the Board of Directors - or mail to PenDOG, Box 2556, Soldotna, AK 99669.