UVRC - Online Membership Application

Online Membership Application

Full Name

Address

City

State

Zip

Phone # (including area code)

Occupation

Spouse's Name

Children's Names

Membership Type

Individual ($20)
Family ($30)

I agree to adhere to the rules and regulations of the HRC and to abide by the Bylaws of the Utah Valley Retriever Club. As a condition of membership in the Utah Valley Retriever Club, I do hereby waive my right and the right of my heirs and assigns to hold Utah Valley Retriever Club, or its directors, officers, or employees liable or responsible in any way for any damage, injury, or death that may occur to myself or my family or any of my properties or belongings, including dog(s). In addition I agree to defend indemnify and hold harmless Utah Valley Retriever Club and its directors, officers, and employees against any and all loss and liability, damages, and costs (including attorney fees) arising from or relating to my participation, or the participation of any dog in which I have an ownership interest or which I am handling, at any Utah Valley Retriever Club event or activity. I understand that there are risks involved in the events and activities of the Utah Valley Retriever Club, including without limitation dogs being allowed off leash from time to time and the use and discharge of firearms. As a member of Utah Valley Retriever Club, I agree to conduct myself in a responsible manner at all UVRC meetings, events and activities; and agree to use appropriate language in any public gathering; I agree to treat all other members, guests and visitors with courtesy and respect; I agree to use the utmost caution and safe conduct while participating in or attending any UVRC event or activity; and I acknowledge that my membership privileges can be suspended or terminated for inappropriate behavior or misconduct prejudicial to the interests of the Utah Valley Retriever Club.

If you were referred by a UVRC club member, put their name here.

UVRC depends on the volunteer efforts of the Members for the success of the Club and the ability to host many quality events each year. Please check all areas of interest in which you/your family would be willing to volunteer your help.

Hunt Tests:

Hunt Test Judge
Hunt Test Chairperson
Hunt Test Secretary
Hunt Test Committee
Stakes Chair
Marshal

Gunner
Bird Thrower
Food Committee
Lunch Preparation
Dinner Preparation
Help Where Needed

Club Events & Functions

Board Member
Club Newsletter
Club Website
Youth Development
Competition Hunts
Fun Tests / Hunts

Training Day Coach / Help
Annual Dinner / Party
Family Activities
Club Clothing
Community Outreach
Help Where Needed

After clicking "Submit," you will be redirected to the UVRC "Dues" page
whereupon you can pay your annual dues by mail or by PayPal.