DUAL MEMBERSHIP
2026/2027 YEAR
Name of Member 1:
*
First Name
Last Name
Email of Member 1:
*
example@example.com
Mobile Phone of Member 1:
*
Please enter a valid phone number.
Format: 0000 000 000.
Name of Member 2:
*
First Name
Last Name
Email of Member 2:
*
example@example.com
Mobile Phone of Member 2:
Please enter a valid phone number.
Format: 0000 000 000.
Address (Must both reside at same address):
*
Street Address
Street Address Line 2
City
State
Post Code
Member 1: Are you a Dogs NSW Member? (Please provide number):
Member 1: Are you a ADAA Member (Please provide number):
Member 2: Are you a Dogs NSW Member? (Please provide number):
Member 2: Are you a ADAA Member (Please provide number):
Back
Next
Which Session do your currently train in?
*
Please Select
Session 1 (Early)
Session 2 (Late)
Both Sessions
Not currently training
List your dogs Information Below:
Rows
Dogs Name: (Call Name)
Dogs Age:
Dogs Breed:
Dogs Sex:
Neuter Status:
DOG1
DOG 2
DOG 3
DOG 4
DOG 5
Become an ADC HelperADC has proudly operated for over 30 years thanks to the support of dedicated volunteers. By helping at club activities and events, you can contribute to our thriving Agility community and help keep ADC running strong. Members who volunteer through the ADC Helpers Scheme can also earn ADC Dog Dollars as a thank you for their support. Ask us how to get started!
Towing! (Urgently needed! - Trailers need to be brought out each week. FULL TRAINING PROVIDED & Trailers fixed for all sizes of car hitches.
Instructing (Most rewarding! 😊) - Ready to Teach a Lower class
Trainee Instructor (Shadow/Assist current instructors to build confidence).
Committee Member
ADC Sub-Committee Member (Trial Committee, Equipment, Sponsorship, Demonstrations etc.)
I want to help just ask! Happy to do anything!
Competition Event Helper (Stewarding, Scribing, Comp Check In, Field Setup).
Billeting - Hosting a Judge for a night or two for our Competitions.
Catering for Trial/Competition: Provide a meal or two on our trial days for Judges & Officials.
Other
Back
Next
I/We agree to be bound by the Constitution, Rules, Regulations, Terms & Conditions, policies, and operational decisions of the Association, acknowledge that participation is at my/our own risk, indemnify the Association and its representatives against any claim, loss, damage, or injury suffered by me/us or my/our dog(s) except where liability cannot be excluded by law, consent to my/our information being recorded on the Association register and made available to relevant governing bodies including Dogs NSW and ADAA unless otherwise requested in writing, and confirm that I/we have read and understood the Association’s governing documents available at https://www.agilitydogclubnsw.com.au/keydocuments
*
Agree
RENEWAL PAYMENT
*
prev
next
( X )
DUAL Membership
Annual Membership = $225.00
$225.00 AUD
$
225.00
AUD
Quantity
1
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Submit
Should be Empty: