SERVICE DOGS OF AMERICA

MEMBERSHIP APPLICATION

Name(s):          _____________________________________________ New __ Renewal __

Address:        _______________________________________________________________

                    ________________________________________________________________

Telephone: Home______________________  Cell ___________________________________

Email:__________________________  Name of SDA club: ____________________________

If a new SDA member, do you have dogs already registered with UKC (yes)___  (no) ___. If yes, please list dog’s name, UKC number, age and gender and submit on a separate page.

Has applicant(s) ever been charged with a violation of animal rights laws? No __  Yes __   

Membership applied for: Individual _____     Family _____     Youth _____

Annual membership dues: single adult: $45.00, Family $70.00, Youth $30.00.

Family memberships are available for two adults in a household or an adult and youth in a household.

Youth memberships are available to members under eighteen years of age on the date of joining or the date of renewing his/her annual membership.

Individual memberships are available for adults eighteen or more years of age on the date of joining or renewing membership.  

Benefits of SDA membership:

       •  SDA has the backing and support of UKC’s media outlets, websites and magazines.

• SDA has the backing and support of a major American national registry.
• Free classified ads on SDA web site. 
• New SDA members register one (1) dog with UKC – free.
• Register subsequent dogs with UKC receiving a $10 discount.
• Member only chat room.
• Only SDA members may become judges, helpers and ring stewards.

By applying for membership, applicant(s) agree to abide by all rules, regulations and policies of Service Dogs of America and the United Kennel Club.

Signatures(s) _______________________________  ___________________________________________   

Date: _________________________

For Office Use Only

Member # ____   Date (original) (renewal) application received:_________    Expiration:_________