Ottawa Valley Pointing Dog Club

Membership is from April 1 to March 31 the following year

Names: First and Family

Address

City

Postal Code

Home Phone

Mobile Phone

Email address

DOG BREEDS, NAMES and AGES

AREAS OF INTEREST

Conformation
Field
Water
NAVDA
Agility
Obedience
Rally Obedience
Breeding
Other

If Other please let us know.

Do you plan to field test your dog in 2025

YES
NO

If YES at what level?

FDJ
FD
FDA
FDX

Do you plan to water test your dog in 2025

YES
NO

If YES at what level?

WDJ
WD
WDX

Are you a CKC member

YES
NO

If YES what is your CKC number?

Membership Fees

Individual NEW $35
Individual RENEWAL $35
Family NEW $40
Family RENEWAL $40

Please check this box if you are available to help out at our events.

YES
UNSURE
NO

If you can help at our events or are unsure, may we call you to find out how you can help?

Yes
No

SIGNATURE (please type your name)

DATE

PAYMENT