NEW CLUB Registration for 2025

NEW CLUB APPLICATION

Name of New Club *

CLUB LOCATION

CITY *
State *
Zip Code *

CLUB CONTACT INFO

Contact person *
Contact person will be listed on the website


*** You must have at least one form of Club Contact info:

phone Number
If entered, phone number will be listed on the website
email
If entered, email will be listed on the website
Facebook Messenger
If entered, messenger link will be listed on the website

CLUB MORE INFO

Club Website
If entered, Club website link will be listed on the website
Club Facebook Group/Page
If entered, Club facebook group/page link will be listed on the website
Club Instagram
If entered, Club instagram link will be listed on the website

CLUB PROFILE

Please submit a picture to be used as your logo/club profile image
Maximum file size: 64 MB
It will be cropped to a square shape and resized.
You may also have a full size picture to display on your club page
Maximum file size: 64 MB
Upload a full-size club image here. This can be a group picture of your Club members and dogs, and action shot of one of your Club dogs, or whatever you like

CLUB DETAILS

Club President *
Club manager *
The Club manager can update Club contact information on the website.
Three Current Club Members *
Please provide the name, zip code, and member number for each of three current Club members.
Must be active USMRA members.
Club Insurance *
Club Insurance Info - If private individual/club policy, list Company, Policy number and Contact info. You MUST also send policy copy to the USMRA Secretary at secretary@usmondioring.org.
If your club has no private insurance write "USMRA". USMRA does not provide individual club insurance.


*** New Clubs must also send a copy of their Club By Laws to the Secretary by emailing to secretary@usmondioring.org.

SIGNATURE & AGREEMENT

Must Complete *
By submitting this document, this club and it's members and agents agree to abide by USMRA by-laws, USMRA Code of Conduct and policies and procedures. We also agree to notify the USMRA Secretary in writing of any by-laws, membership or event changes, as well as event incidents and procedure deviations. USMRA is committed to an anti-discrimination policy in all of its programs. Membership entitles all members in good standing to attend all USMRA sanctioned events.
Signature *
Date *
Club membership 2025
0.00
You will receive a confirmation email once we have received the form and payment.

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