Tornado Alley Schutzhund Club Membership Application
Name___________________________________________________________________________

Ocupation________________________________________________________________________

Address_________________________________________________________________________
_______________________________________________________________________________

Home Phone______________________________________________________________________
Cell Phone_______________________________________________________________________
E-mail Addres____________________________________________________________________

USA #________________________________ Exp._____________________________

Dog(s) name, age & titles
1.______________________________________________________________________________
2.______________________________________________________________________________

Are you new to Schutzhund?_______

What are your goals in the  sport?
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

Please describe your past history and achievements with dogs:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

Please list current and past dog clubs you have been a member of:
_______________________________________________________________________________
_______________________________________________________________________________

I agree to hold harmless any property owners, members, officers, or others affiliated with Tornado Alley
Schutzhund Club of any claim for the loss or injury that may be  alleged to have been caused by any
person or dog.  I agree that I personally assume all responsibility for my actions and for the actions of my
dog(s).
Signature:_____________________________________Date:____________________
Annual  dues:
$150.00 single membership /  $225.00 family membership
(Due on Jan. 1 annually, pro-rated by month for new applications only)

Schutzhund USA annual membership: go to www.germanshepherddog.com for current fees