K9ScootersNW.com || ONLINE APPLICATION FORM

ONLINE APPLICATION FORM

Joining K9ScootersNW is quick and easy! Now you can apply AND pay online, using PayPal with a Credit Card. Your paid membership includes access to the Members ONLY area of our website, including the complete member list, archive of newsletters, and many other services.

DUES:

	Family	$30.00/year
	Individual	$25.00/year
	Student/Discount	$10.00/year

Dues are payable on or before April 1 of each year. Dues are not pro-rated. If dues remain unpaid by July 1, membership shall lapse.

Step 1: Filling and Submitting your Application Form

*Required Fields

Name: *

Address: * City: * State: * ZIP: *

Home Phone: Cell/Alt Phone:

Email:

Dog Breed(s):

Years of Experience: How did you learn about K9ScootersNW?:

Type of Membership:

Family $30/year
Individual $25/year
Student $10/year

Check areas of interest:

Events
Fun runs/Races
Titles
Clinics/Education
Scootering
Skijoring/Bikejoring
Sledding
Weight pull
Sulky/Cart driving
Other

Administration
Public Relations
Fundraising
Newsletter
Volunteer Recruitment

Other
Website design/development
Future Planning

Dues are payable on or before April 1 of each year. Dues are not pro-rated. If dues remain unpaid by July 2, membership will lapse.

YES, I (We) hereby apply for membership in K9ScootersNW and agree to abide by their Constitution and ByLaws.*

Step 2: Paying Online via PayPal or with a credit card via PayPal.
FAMILY MEMBERSHIP $30/year	INDIVIDUAL MEMBERSHIP $25/year	STUDENT $10/year