Membership Application Step Two

Additional Information

Before you continue we need to gather some additional information about you and your canine friend/s.

Additional Family Members

You can add up to three (3) family members to your account.

First Name Family Name
1
1

Details about Your Dogs

Enter some information for each of your dogs.

Dog Name Dog Breed Dog Age Dog Sex Desexed? Fully Vaccinated? Remember to bring your dog(s)’ vaccination record when you come to the Club to complete your registration
1
1

Emergency Contacts

Please enter the contact details for someone we can call in case of an emergency.

First Name Family Name Phone Number

Dogs NSW Membership Number

Please note this is the handler / owners membership number NOT the dogs.

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