Portland Agility Club Membership Application
Please fill out the application and click Submit at the bottom

 
 
Name
 
Address
 
Day Phone
Evening Phone
 
Email
 
Occupation
 
Sponsoring Members(2)
 
 
 
Breed of dogs I currently own:
 
I have trained dogs to the following agility levels:
 
  Novice Open Excellent Other
 
 
 
I am interested or participate in the following activities:
 
  Obedience Field Trials Tracking Herding
  Breeding Conformation Earth Dog Lure Coursing
 
Other (list):
 
 
 
Other dog clubs in which I currently have membership:
 
 
 
I am willing to help in the following ways:
 
 
 
Return $5 membership fee to:
Portland Agility Club
800 N.E. Tenney Rd, PMB #540
Vancouver, WA 98685
 
 
 
Applicants are required to attend one club meeting prior to final vote on membership into Portland Agility Club. Perspective members may work at least one class at a PAC trial in lieu of attending a meeting
 
 
 
By clicking this box, I agree to abide by the constitution and by-laws of the Portland Agility Club
 
Please note that incomplete forms may not be processed.