Application

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Jersey Agility Association of Central NJ

CLICK HERE to review the JAG Constitution and By-Laws

2010 Membership Application Form

Reminder: You must obtain your sponsors, attend two meetings and do work for the club before submitting your application.

JAG 2010 Membership Application ---- CLICK HERE TO VIEW (PDF)

PLEASE PRINT OR TYPE

Name: Date:

Home Phone: Work Phone:

Street Address:

City, State, Zip:

Fax:

Email: Web Page

Occupation / Profession:

Other Club Affiliations:

Offices or positions held:

Please tell us why JAG Membership is important to you, and about your dogs, their names, breeds, ages, titles, your interests, goals:

What JAG events have you helped out at / who did you report to?

Membership Application is for:

[   ] Individual ($50) [   ] Household*($50) [two or more persons, same household]

[   ] Junior Handler ($50) [   ] Associate ($15)

*If Household membership, please list below other individuals this application covers and their relationship to you:_____________________________________________________________________________

If Junior Handler (age 7 to 17), the parent or guardian must co-sign this application; Parent/Guardian is (please print): ________________________________________________________________________

ACTIVITIES:

JAG Members must participate helpfully in club activities each year to maintain membership. Please indicate which committees you are interested in serving on.

[ ] Activities [ ] Banquet [ ] By-Laws

[ ] Computers [ ] Equipment and Site Maintenance [ ] Hospitality

[ ] Membership [ ] Merchandising [ ] Publicity

[ ] Seminars and Clinics [ ] Sunshine [ ] Training

[ ] Trial [ ] AKC Trial [ ] CPE Trial

[ ] USDAA Trial [ ] Web Site

I/We wish to join the Jersey Agility Association of Central NJ. I/We submit herewith dues in the amount of $50 for ___________Membership as checked above (except $15 associate). I/We hereby agree to abide by the Constitution and By-Laws of the Jersey Agility Association of Central NJ. Unless noted on the back of this form (explain in detail, please). I/We Hereby attest that I/We are currently not under suspension by any of the following: American Kennel Club, (AKC), United States Dog Agility Association (USDAA), Canine Performance Events (CPE), or North American Dog Agility Council (NADAC). I/We understand that items on this application will be socialized with membership, and that I/we cannot be voted upon for membership until the requirements for the type of membership applied for are fulfilled, and that until that time I/we are not yet JAG members but considered JAG “potential members” or “applicants.”

Note: any application (individual, household, junior, associate membership) requires two sponsor signatures.

Signature of First Applicant

Signature of Second Applicant

Printed Name of First Sponsor:

Signature of First Sponsor:

Printed Name of Second Sponsor :

Signature of Second Sponsor:

*It is the responsibility of the sponsors to ascertain that the above application is complete in all respects. No application will be processed if it is incomplete.
Make payments payable to “JAG” mail to: JAG, PO Box 142, Morganville NJ 07751 or bring with you to the next meeting if your other pre-requisites for membership have been fulfilled. Incomplete applications will be returned.