This form is not interactive. 
Copy, paste into a document and then print for your use. 
Membership  Application
PLEASE PRINT AND MAIL WITH DUES (address below)

All members of Dynamic Dog Club must be residents of The Villages. 

Today's  Date:__________________ 
 
Name(s):_________________________________________

Villages ID(s)______________________________________
 
Address:____________________________________________________
 
Zip  Code:________________________
 
Phone:____________________________Cell:_______________________
 
Email  address:____________________________________________________
 
My main area(s) of interest are: ( please check as many as you wish )

______ Therapy Dogs

______  Dog R.E.A.D.ers Literacy Program

_______ Canine Drill Team

Other:____________________________
 
My special skills that may benefit the club are ( ie: computers, clerical, leadership, training, hospitality, etc.) :

___________________________________________________________

___________________________________________________________

 
dog's name:___________________________Breed:__________________

Age:______________Gender:_____________

2nd Dog's name: _________________________Breed:____________________________

Age:________________Gender______________
 
Please return this application with your annual dues to:
Neil (Bing) Johnson, Membership Chairman
1427 Arbor Trail
The Villages, 32162. 

Annual dues are $7.00 per person or $12.00 per couple. Please make your checks payable to the Dynamic Dog Club.  
Please, no cash by mail.  Cash gladly accepted at club meetings.