Name(s):  _______________________________________________________ &   
Name(s):  _______________________________________________________
Mailing Address: __________________________________________________
Mailing Address: __________________________________________________
City: __________________________________     State: ___________      Zip+4: ____________________
Home phone: (_____      ) ___________ - __________________
Work phone (optional): (____   _   ) ___________ - __________________
Home E-mail: _________________________@______________________________
Work E-mail (optional): _________________________@_______________________________
Do you have dogs?   ________________ 
If so, what breed(s) or All American  
              _____________________________________   ____________________________________
              _____________________________________   ____________________________________
Have you ever put titles on a dog?   _______________________
Do you currently train your dog(s)?   _______________________
What activities do you do with your dog?_______________________________________
How did you hear about TMAC?   _____ Website   _____Trial   _____ Event  _____ Classes   
                                                _____ Member  _____________________________________ Member Name

Do you belong to any other dog clubs?  Please tell us how you participate in these clubs.   
_______________________________________________________________________________________

TMAC events are made possible by the efforts of our members. We value the contributions they make to help TMAC. Members are encouraged and required to become actively involved in club activities.  A minimum of 4 service hours yearly will be required to maintain a full privilege membership.
Would you be willing to work/help at TMAC events?   _______ Yes    _______ No

Check your possible areas of interest: (member training seminars available to learn jobs) 
_______ TMAC Officer or Board member: Officers have a 1 year term, Directors have a 2 year term
_______ Club Committees: Education, Seminar, Hospitality, Finance, Banquet, Travel & Lodging, Website
_______ Agility Trial Committees: Chairman, Asst. Chair, Chief Steward, Hospitality, Grounds, Ribbons
_______ Agility Trial Workers: Timer, Scribe, Assistant Scribe, Score & Leash Runner, Ring Steward, 
_______ Gate Steward, Assistant Gate Steward, Course Builder, Parking, Grounds.

Membership Types/Fees (check type for which applying):
_______ Individual $20.00/year                   _______ Junior (18 & Under) $15.00/year
_______ Senior (60 & Over) $15.00/year      _______ Family (2 people or more) $25.00/year

Send check payable to TMAC and completed application form to: 
Lorna Godsill, 265 Cedar Ridge Drive, Glastonbury, CT 06033


As a TMAC member, I've hereby read and agreed to abide by the Club Constitution 
and Bylaws of TMAC and those of the AKC Inc.
Signature of Applicant __________________________________________________   Date _____________________________

FOR TMAC OFFICER USE ONLY:
Submitted ____________  Dues rec’d ______________  Presented to Board _____________  Date approved _______________

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