APPLICATION FOR MEMBERSHIP OF DOG CLUB LEURA Inc.

I hereby apply to become a member of DOG CLUB LEURA Inc.go to :- rules | home

Name : .......................................................................................................

Address : .......................................................................................................

Phone : ....................................                   Mobile : ................................

Junior-age : ........... years                  email : ................................................

Your Dogs Details

Dog 1 ..................................................  1 ......................................  1 ...........

name breed age

Dog 2 ..................................................  2 ......................................  2 ...........

name breed age

Dog 3 ..................................................  3 ......................................  3 ...........

name breed age

Club Rules are available on the web site :- dogs.addr.com

I agree to be bound by the Club’s rules and regulations and to comply with direction issued on behalf of the Club’s Committee. I am aware that I may inspect or obtain a copy of the Club’s rules and regulations from the Club Secretary.

I shall not hold the Club, nor any member of the Club, liable for any loss or injury caused to or suffered by me as a consequence of misadventure arising from my involvement with the Club; regardless of how such loss or injury may have been caused. I will not make any claim against the Club, nor any member of the Club, for consequential damage arising from such loss or injury caused by misadventure.

A dog/s brought by me to the ground or into association with other member’s dogs:-

  1. shall have a current vaccination certificate.
  2. shall be in good health.
  3. shall not be a bitch in season
  4. shall not be known to be a dangerous dog, a greyhound, or a suspect breed.
  5. shall not have undergone defense, guard, or attack training.


Signed ......................................           Dated ............................

Dog 11 Dog 22 Dog 33 Boxes to be ticked by Club Official


VACCINATION CERTIFICATE/s SIGHTED ...................................

To be signed by Club Official

go to :- rules | home