Name (required)

Email (required)

Address (required)

City (required)

State (required)

Zip (required)

Phone

New Member or Renewing Member
New MemberRenewing Member

Membership Type
PremierFriends of MOKAN

List Your Dog's Name, Breed, D.O.B, and Gender

Shirt Size
SmallMediumLargeX-Large

Shirt Color
Sport GrayRoyal Blue

By submitting this application for membership in MO*KAN DockDogs, the applicant attests to and understands the following stipulations: MO*KAN DockDogs, its officers, other members, nor practice property owner are not responsible for any personal injury or damage to members’ personal property (including dogs). Dogs attending and participating in MO*KAN DockDogs events, including practices, are current on all state and/or county required inoculations and vaccinations, and have no known aggressive tendencies. I would like to become a member of the MO*KAN DockDogs. I agree to abide by the rules of the Club and those of Dog Docks Inc.