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IDDHA Online Membership Application
Annual Member - $20 includes registration of 1 dog.
Lifetime Member - $150 includes registration of 1 dog.
Register Dog Only - $10 per dog, excludes member benefits.
Ranking Only - $27, includes 1 dog, excludes member benefits.
Note:  All fields needs to be filled in.  Enter "-" if N/A.
 

First Name: Email:
Last Name: Website:
Address: Your Birthdate:
City: Your Height:
State: Your Weight:
Country: Right or Left Handed:
Postal Code: Sex (M or F):
Home Phone: Years as Dog Owner:
Work Phone: # Of Dogs:
Fax: Occupation:
Request Password: Member of Disc Dog Club?:
    Name of Club:

Canine Information

    
Name: Length
(front to back paw while standing):
Call Name: Disc Experience (mo/yrs):
Breed: First Catch (age):
Dog's Birthdate: Preferred Disc:
Sex: Competition Experience:
Height: Other Canine Related Activities:
Weight:    
       
Registration Type: