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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:
Pam O'Day, 275 Waterville Rd, Avon, CT 06001
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 _______________ |
