Membership Form

Which membership are you applying for?*

Renewal
New Member

First Name*

Last Name*

Address*

Street Address Address Line 2 City State ZIP Code

Cell Phone*

Email*

Enter Email Confirm Email

Breed of Dog

NAVHDA International #:*

You must be a member of the international org, if you wish to join a local chapter.

When did you last pay your dues to NAVHDA International?*

Which membership level would you like?*

$55 Individual Membership
$70 Family Membership

Make check payable to: Hudson Valley Chapter of NAVHDA. Or HVNAVHDA Mail To: Debbie Field 4354 Glenwood Drive Emmaus,PA 18049

Which conservation groups are you a member of?*

Ruffed Grouse Society / American Woodcock Society
Pheasants Forever / Quail Forever
Neither

Our chapter has a goal that all club members will belong to one or both of NAVHDA International's conservation partners. Not required, but encouraged!

Optional Questions

Are you testing a dog this year?

Yes
No
Not Sure

When do you intend to test?

Spring Test
Fall Test

What level of test will you run?

Natural Ability
Utility Prep Test
Utility Test
Invitational Test

Have you attended an HV NAVHDA clinic before?

Yes
No

If you are new to the chapter, do you know any of our members? If yes, please list

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Name

This field is for validation purposes and should be left unchanged.

Hudson Valley NAVHDA: Membership Application

Optional Questions