Membership 2021

Stratford Dog Agility Membership Form
Name

First Name Last Name
E-mail
Phone Number

Area Code Phone Number
Address

Street Address

Street Address Line 2

City

Postcode
By selecting this option, you agree to abide by the Rules and Regulations of Stratford Dog Agility. These rules and regulations can be found in the membership section of the website. *

I agree to abide by the Rules & Regulations of Stratford Dog Agility Inc.

Dog Information
Are you a Member of Dogs Victoria

Yes No
If Yes, please state your Dogs Victoria Membership Number.
Note: If you are not a Member, you will be required to purchase the $10 Non Dogs Victoria Insurance,
Your Dogs Name & Breed.

Stratford Dog Agility Membership Form