MPCDC Current Members - Membership Renewal Form

After completing and submitting the Mornington Peninsula Community Dog Club Membership Renewal Form.

Please Note:

– you will be required to show proof of full dog(s) full vaccination & proof of concession (if applicable) as part of the enrollment process.

– you are also required to pay the applicable Membership Fees.

This form is only for current MPC Dog Club Members who are renewing their membership for 2025.
If you wish to apply for a new membership please click here for our New Members Application Form

Name *

First

Last

Email *

Phone No *

Address *

Single Line Text

Town | City *

Postcode *

Membership Type being applied for *

Proof of concession (if applicable) must be provided at time of enrollment

For Family Membership please provide Family Names

First

Last

Age (if under 18)

Additional Family Name 2

First

Last

Age (if under 18)

Additional Family Name 3

First

Last

Age (if under 18)

V.C.A. Membership Number (if applicable)

The Victorian Canine Association Inc (VCA) is a non-VCA member insurance levy that is required to be collected and forwarded to the VCA by all affiliated clubs. This levy applies only to Victorian club members who are not members of the VCA Inc, if you are already a member of VCA let us know and we will adjust the Annual Fee accordingly.

Emergency Contact *

First

Last

Emergency Contact Phone No *

First Dog's Name *

First Dog's Breed *

Sex of First Dog *

First Dog's Date of Birth (DD/MM/YY) - approximate if unknown *

Vaccination Due *

Proof of dog vaccination must be provided at the time of membership renewal

Second Dog's Name

Second Dog's Breed

Sex of Second Dog

Second Dog's Date of Birth (DD/MM/YY) - approximate if unknown

Second Dog's Vaccination Due

Proof of dog vaccination must be provided at the time of membership renewal

MPCDC Club Rules *

I agree to abide by Mornington Peninsula Community Dog Club Rules

I acknowledge at all times I shall be wholly and totally responsible for the care, well-being, health and actions of any dog under my charge at any Club Activity and I declare that the above information provided is true and correct at the time of submiting. By checking this box, I confirm I have read the Club Rules and agree to abide by these rules at all times.