United White Shepherd Club
Membership Application

Club membership is from January 1st to December 31st of each year. Applications received after October 31st will be effective immediately and apply to the following calendar year. 

Name:

Home address:

Phone: please include area code(home, work, cell)

Email:

Number of White Shepherds currently owned:
Are you a breeder? Yes No

Membership type: Individual- $20. Family- $25.

REQUIRED:
I (we) agree to abide by the Constitution & Bylaws of the United White Shepherd Club and to do my (our) part to ensure the preservation and advancement of the White Shepherd.   

You may either click submit now and give minimal information, or we'd love it if you'd provide information about your dogs below.
 

After Submitting your application, return to this page with your browser's BACK button
and CLICK HERE for payment info.
Optional:  The following questions will be part of the United White Shepherd Club’s membership database.  Please answer them as completely as you can.  The information will help club members to connect with individuals with common goals for their White Shepherds.
Thank-you in advance!
Kennel Name:

Your Website Address:(if you have one)

Occupation:

Your hobbies/interests:

Goals for your White Shepherds:
** Please tell us about your White Shepherd **
Dog 1
Registered Name:
Call Name:             
Sire:  
Dam: 
Your dog's breeder:
Who is this White Shepherd registered with?
please check all that apply
American Kennel Club   United Kennel Club   Canadian Kennel Club
Rare Breed Club of SouthWestern Ontario   American Rare Breeds Association
Other(please list)

Date of Birth:   Sex:Male Female
OFA/PennHIP/other health certified (and which)?

Titles or Certificates earned:

Titles you're working on/like to earn?

Dog 2
Registered Name:
Call Name:             
Sire:  
Dam: 
Your dog's breeder:
Who is this White Shepherd registered with?
please check all that apply
American Kennel Club   United Kennel Club   Canadian Kennel Club
Rare Breed Club of SouthWestern Ontario   American Rare Breeds Association
Other(please list)

Date of Birth:   Sex:Male Female
OFA/PennHIP/other health certified (and which)?

Titles or Certificates earned:

Titles you're working on/like to earn?

Dog 3
Registered Name:
Call Name:             
Sire:  
Dam: 
Your dog's breeder:
Who is this White Shepherd registered with?
please check all that apply
American Kennel Club   United Kennel Club   Canadian Kennel Club
Rare Breed Club of SouthWestern Ontario   American Rare Breeds Association
Other(please list)

Date of Birth:   Sex:Male Female
OFA/PennHIP/other health certified (and which)?

Titles or Certificates earned:

Titles you're working on/like to earn?

Dog 4
Registered Name:
Call Name:             
Sire:  
Dam: 
Your dog's breeder:
Who is this White Shepherd registered with?
please check all that apply
American Kennel Club   Canadian Kennel Club
Rare Breed Club of SouthWestern Ontario   American Rare Breeds Association
Other(please list)

Date of Birth:   Sex:Male Female
OFA/PennHIP/other health certified (and which)?

Titles or Certificates earned:

Titles you're working on/like to earn?

Have more dogs? Check the box and we will get back to you for the rest of your dogs' information!

Have you ever attended a UKC function (conformation show or performance event)?YesNo
If yes, please give us some details about your experience:


Any personal comments you'd like to add....
 
After Submitting your application automatically above:
Return to this page with your browser's BACK button
and CLICK HERE for payment info.