Membership Application

* = Mandatory field


I am a New Member to the Club
I am a Returning Member to the Club


Owner Surname: *
Owner First Name: *
Handler's Surname (if different from Owner):
Handler's First Name (if different from Owner):
Title:
Phone - Mobile: *
OR
Phone - Home:
Email: *
Confirm Email: *
Postal Address: *
Suburb: *
City: *
Postcode: *

Dog Name: *
Dog's Gender: *
Dog's Date of Birth (or Age): * Or Dog Age:
Dog Breed(s): *

Yes No

Select the Classes you are interested in: *

Hold down the Ctrl (windows) / Command (Mac) button to select multiple options.

Do you have specific areas of concern with your dog (e.g. Barking, Digging, Jumping Up, Aggression etc):

What (if any) previous dog training experience have you had:
What (if any) previous dog training has the dog had:

Yes No

Yes No

Yes No


Terms and Conditions of Membership

  • I acknowledge that any dog that is sick or has been in contact with any contagious ailments, or any bitch that is in season, must not attend classes until cleared.
  • I understand that during training on the Club grounds the Instructor will provide all possible care, but that responsibility for the dog's actions and/or any injuries is solely that of the dog's owner/handler.
  • Safety for all handlers and dogs is paramount. I understand in situations where there is a safety risk that I may be asked to temporarily remove my dog from the grounds while a plan of action is put in place.
  • I acknowledge that the club's membership year is from 1 April to 31 March. Membership of the Club is subject to election at a meeting of the Rotorua Dog Obedience Club Committee.

I Accept the Terms and Conditions of Membership