Ithaca Dog Training Club
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IDTC Membership Application
Membership Path
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Indicates required field
Please select the appropriate path to membership:
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1. I have competed 2 introductory classes with IDTC (Puppy, Beginners 1, Beginners 2); pay membership dues.
2a. I have been evaluated by the Training Committee, gotten placed into, and compeleted, Beginners 2 or CGC; pay a $75 initiation fee plus membership dues.
2b. I have been evaluated by the Training Committee and been approved for membership wihtout taking an introductory class; pay a $150 initiation fee and membership dues.
3. I have earned a performance title in obedience, rally, or agility on any dog in the past 5 years, or have a CGC on current dog, pay a $150 initiation fee and membership dues.
Additional Details
Please fill in only the section that questions that match with the Membership Path number you chose above.
1. Date that I completed a second IDTC class.
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2a. Date of your evaluation and name of the training committee member who evaluated you.
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2a. Date I completed Beg 2 or CGC.
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2b. Date of your evaluation and name of the training committee member who evaluated you.
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3. I have earned a performance title in the past 5 years in: (select all that apply)
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Obedience
Rally
Agility
CGC (must be on current dog)
3. List title(s), organizations, and date of most recent title:
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Membership Type & Year
Membership type
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Regular (single, annual dues $30)
Family (2 or more people in the same household, annual dues $40)
Junior (under 18, annual dues $15)
For year:
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Member Information
Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Email
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Dog breed(s)
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Dog name(s)
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IDTC Liability Release
To be signed by dog's trainer and owner (if different from trainer), and by parent or guardian if trainer is under 18 years of age
I understand that training a dog is not without risk to me or my dog in the form of injury; and in consideration of training my dog, I expressly assume this risk and hereby waive and release the Ithaca Dog Training Club, its employees, officers, members, and agents, and the Club's landlord, from any and all liability of any nature for injury or damage my dog may suffer as a result of training or of any action in connection therewith.
I also understand that my attendance at dog training classes is not without risk to me, members of my family or guests who may attend, or my dog, because some of the dogs to which we may be exposed may be difficult to control and may be the cause of injury even when handled with the greatest amount of care. In consideration of training my dog, I expressly assume this risk and hereby waive and release the Ithaca Dog Training Club, its employees, officers, members, and agents, and the Club's landlord, from any and all liability of any nature for injury or damage resulting from the action of any dog.
Furthermore, in consideration of training my dog, I agree to indemnify and hold harmless the Ithaca Dog Training Club, its employees, officers, members, and agents, and the Club's landlord, from any and all claims by me, or by any member of my family, or by any other person accompanying me to these training classes, resulting from the action of any dog, including my own.
IDTC Liability Release
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I agree
Submit