Membership Application Form

Instructions:

Please enter the requested information below and submit when complete.

All required fields (*) must be filled in to submit.

You will be sent to a confirmation page, immediately after submitting your registration form, that contains payment links. Please submit your payment at this time to

I am in good standing with the American Kennel Club.

Yes No

Please tell us about the dog(s) you are currently training.

Dog #1's Call Name

Per the MOTC Constitution, the purposes of MOTC are to teach people to be responsible dog owners and canine companion sports participants, educate the public on safely interacting with dogs, prevention of cruelty to dogs, encouraging registered therapy dog organization activities, and holding canine companion sports events.

How can we count on you to contribute to MOTC's purposes as a member this year? (Choose all that apply)

What "Other" items can you help the Club with?

Please summarize your MOTC volunteer activities from the past club year (July 1 - June 30)

Type of Membership (You will be redirected to a confirmation page that will contain payment links.)

Single Membership ($65) Senior Membership ($40 - must be a member for 2 years) Household Membership ($90) Junior Membership ($25) Life Membership ($0) Non-Active Membership (Associate or Honorary — non-voting)

If you chose a Household Membership, please list the other household member.

Muncie Obedience Training Club Disclaimer (Be sure that you agree with each of the following statements before signing below.)

I agree to indemnify the Muncie Obedience Training Club (MOTC), its instructors, members, and administrators for any costs or liabilities which may incur as a result of my participation in MOTC classes, training, trials, and sponsored events.

I agree to indemnify the owners of any property being used by MOTC for any costs or liabilities which may incur as a result of my participation in classes, training, trials, and sponsored events.

I agree to allow official, club sponsored photographs to be taken in MOTC classes, trials, and sponsored events for publication in MOTC newsletters, websites, social media, marketing, and advertising materials. I agree that I may opt out of any photographs, and it is my responsibility to inform the photographer. It is the responsibility of the photographer to obtain permission from a parent or guardian before taking pictures of any minors involved.

I understand that MOTC promotes the use of positive dog training methods, and that actual or perceived physical mistreatment is absolutely forbidden. Mistreatment consists of physical or verbal abuse including, but not limited to: hitting, kicking, throwing, slapping, strangling with hands, use of feet as corrections, inappropriate use of collar or leash, and screaming or cursing.

By signing below, I acknowledge that I have read the Club Rules and agree to abide by them. I understand that my failure (or that of my guests) to follow the club rules, may result in the loss of my training privileges.

MOTC Member Rules MOTC Building Rules

My typed name below constitutes my electronic signature, which is the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.