New Membership Sign Up

You can use this portal form to become a member. Please do not use this form however if you are an existing member.

PLEASE NOTE - THIS IS FOR MEMBERSHIP ONLY AND NOT COURSE RENEWALS

DO NOT USE THIS FORM FOR INSTRUCTORS CLUB MEMBERSHIP

Select Your Membership Option

Please select YOUR PRIMARY canine discipline. Membership covers you for ALL CBCT activities, however you must choose a primary activity.

You can enter your dogs details below, however this is not compulsory.

Ring Craft Member - £ 10.60

Obedience Member - £ 10.60

Agility Member - £ 10.60

Flyball Member - £ 10.60

Rally-O Member - £ 10.60

Other Amount

Please renew my membership automatically. (Your initial membership fee will be processed once you complete the confirmation step. You will be able to cancel automatic renewals at any time by logging in to your account or contacting us.)

Email Address *

New Member

Preferred E-Mail Format

Title

First Name *

Last Name *

House Number & Street *

Address Line 1

Address Line 2

Town/City *

County *

Country *

Postal Code *

Telephone Number

PLEASE ENTER A MOBILE TELEPHONE NUMBER, IN THE EVENT OF ANY EVENT BAD WEATHER ALERTS OR CHANGES TO CLASSES WE WILL SMS TEXT YOU TO THIS NUMBER

Mobile Phone Number *

Dogs Pet Name

Dogs Breed Or Cross

Dogs Colouring Or Markings

Dogs Date Of Birth

(Clear Dogs Date Of Birth )

Dogs Sex Dog Or Bitch

Dogs Breeder (If Known)

Dogs Kennel Club Registered Name If Applicable

Dogs Dam (Mother) If Known

Dogs Sire (Dad) If Known

If Rescue Name Of Rescue Centre

Gift Aid – All You Have To Do Is Tick The Box! If you are a UK tax payer, we can claim Gift Aid from the government on any donation you make to us at no extra cost to you! This helps us as a charity continue to promote “Responsible Dog Ownership” and help dogs in Central Bedfordshire. So if you are a UK Tax Payer paying Income or Capital Gains Tax and would like us to be able to claim Gift Aid on all donations that you have made in the past 4 years and all future donations from now on, please tick this box SELECT YES!

Gift Aid Declaration *

Yes No