SEA-PAH Membership Application
Date of Birth
Emergency Contact Name
Emergency Contact Phone Number
Committee Participation: Seattle Pups and Handlers is a social organization that relies heavily on its Board of Directors and its membership to plan, participate, and provide club activities. On which committees would you be willing in participating in?
I certify that I am 18 years of age or older, agree and consent to membership with the Seattle Pups and Handlers (SEA-PAH), agree to and abide by the bylaws and rules of SEA-PAH, a copy of which I have been advised can be found on the website at www.seapah.com or by hardcopy upon written request. I understand that my personal information on this application shall be kept by the organization for its own use and will not be released to outside parties without my consent. I agree that I will not, at any time hold SEA-PAH, its officers, members, or other entities associated with SEA-PAH liable for any injury, physical or otherwise, which my property or I may sustain as a result of my involvement with SEA-PAH, which includes any harm done at any gathering of SEA-PAH members, planned or spontaneous, including the homes of SEA-PAH members. I assume total responsibility for my personal actions, and understand that the Board of SEA-PAH reserves the right by simple majority to decide now or hereafter to refuse or terminate my membership with or without cause. I am aware that group photos and/or video will be taken at our events. I understand that contributions or gifts, including membership dues, are not tax deductible for federal income tax purposes. SEA-PAH is a registered 501(c)(7) organization and shall not discriminate on the basis of gender, gender expression, sexual orientation, national origin, disability, race, or religion.
SEA-PAH Membership Tag
I will pick up my tag at the public mosh
Please mail my tag to me at the listed address
(if you select you will pick up your tag at the public mosh, you must do so within 3 months of completing this form, if you do not your tag will be mailed to you)