Membership Application In order to become a member of CAPTA, you must fulfill the following requirements: 1.You train pets other than your own, either as a volunteer or in a paid position. 2.Provide a clear description of your training experience. 3.Attendance at one event per year 4.You live within or train pets in area code regions: 773, 312, 847, 630 or 708. PLEASE TYPE DIRECTLY ONTO THIS FORM AND RETURN IT TO CAPTAMEMBERS@GMAIL.COM USE AS MUCH SPACE YOU' D LIKE Application for Membership Name: Address: Phone: Email: Website (if applicable): 1)What is the name of your training business/club or organization? 2)How often do you train (# of hours per week)? 3)Type(s) of animal(s) you train? 4)How long have you been training? 5)Number of pets owned and types of pets. 6)Are you a member of any other professional organizations? If yes, please list. a.If you have any other role in the organization besides member, please list 7)What would you like to see CAPTA do? 8)There are several committees within CAPTA. Are you interested in a committee role? Visit www.captaonline.org for more information.