2024 Prairie Vista NAVHDA Membership Form

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Single Membership is $75 and Family Membership is $125. See our website for all other FAQ information.

First name *

Last name *

Email *

Phone number *

Address (& Postal Code) *

City/Nearest City *

Membership Type *

New Member - Single Membership *Never a Prairie Vista Member Before

New Member - Family Membership *Never a Prairie Vista Member Before

Membership Renewal - Single

Membership Renewal - Family

Required for family membership, please name all the others users that are included in your family membership, first and last name with their address if different from your own.

If applicable, add a secondary email if you are a Family membership user (to make sure they also receive club correspondence).

Dog(s) NAVHDA Number(s):
*

Your NAVHDA International number:

Area(s) to you would like to Volunteer: *

Testing Events

Training

Board Member

Committee Member

Work Bees

Photography

Fundraising

Mentoring New Members

Other:

Required

Experience Level in bird hunting and hunt training? *

New to training and to bird hunting.

New to dog training but not to bird hunting.

Some experience with both.

Experienced with both.

Breed(s) of dog, age(s) and training level (NA, just starting out, UPT, UT) *

Are you hoping to test this year in this chapter (how many dogs and what level(s)? *

Comments

In the event of an emergency, please contact the following person:
*

Emergency Contact Phone Number:
*

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