Individual Membership Application | Obedience Dog Training Club Waterbury

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Individual Membership Application 2026

First name(Required)

Last name(Required)

Email(Required)

Multi-line address

Country/Region(Required)

Address(Required)

City(Required)

Zip / Postal code(Required)

Phone(Required)

Opt in to receive text messages from ODTCW

Are you now, or have you ever been suspended from the privileges of the American Kennel Club?

Yes

No

Please list any Dog Clubs or other canine organizations (breed, confirmation, agility, obedience, field, etc.) you are currently, or have previously been a member. Indicate if you held an office in the organization.(Required)

Please describe your experience in training and handling dogs. Indicate any certifications, degrees, etc. you have earned.(Required)

Please list all titles you have earned. If you have not earned any, please type N/A.(Required)

Please list the dog breeds you own.(Required)

Are you a(n)...(Required)

Obedience Exhibitor

Breeder

Confirmation Exhibitor

None of the above

Do you authorize ODTCW to share your contact information with other club members for the sole purpose of internal club communications?

I/We hereby apply for membership in the Obedience Dog Training Club of Waterbury, Inc. If elected to membership, I/we agree to be governed by its constitution and by-laws, and the rules of the American Kennel Club.

I/We understand that participation in Obedience Dog Training Club of Waterbury, In. related classes, activities and functions could result in possible unintentional damage or injury to me, and any person or animal for whom I/we have responsibility and/or ownership.

Additionally, I/we assume the sole responsibility for and agree to hold the Obedience Dog Training Club of Waterbury, Inc. harmless and without liability from any and all loss and expenses for any damage or bodily injury sustained to me/us and any person or animal as stated above, arising from my/our attendance at, or participation in, an Obedience Dog Training Club or Waterbury, Inc. training class, function or activity.

A non-refundable processing fee of $1.75 for individual memberships will be charged for each application

$25

For membership and general information email:

info.odtcw@gmail.com

For class information contact the class instructor

11 Robinson Lane
Oxford, CT 06478

©2025 Obedience Dog Training Club of Waterbury, Inc

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