UABA New Member Application Form

UABA Membership Application Form
- Name
  
  First NameLast Name
- Name on Facebook if different than legal name
  
  First NameLast Name
- Date of Birth
  
  MonthDayYear
- Email
  example@example.com
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Zip / Postal Code
- Check all that Apply:
- Kennel Name if applicable
- Website and/or Facebook Page
- Instagram Handle
- How many years have you been involved with American Bullies as of January 1st of the current calendar year?
- Number of American Bully(s) Owned:
- Other Breed(s) you currently own:
- I own dogs (of any breed) that have earned UKC titles in the in following areas:
- Use this box to tell us about what titles your dogs have earned that are earned with other associations or clubs! (AKC, ADBA, ABKC, CKC, APA, NADD, BHA, Online Titling, etc.)
- Health testing is not a requirement, but if you do OFA health testing, feel free to leave your dog(s) OFA links below to brag about it!
- Please list any other clubs/organizations/committees you are active in:
- Are you interested in serving on any of the UABA Committees?
- If yes, do you have a specific area(s) of interest or expertise?
  Options may include: Health Testing/Education, Breeder Referral/Education, Judge's Education, Junior Program, Mentorship, BSL, Legislation, Membership, Constitution/Bylaws, Ethics, Fundraising, Meet the Breed, Newsletter, Rescue, Breed Standard, Website, Nominations (voting years), etc.
- How did you learn about UABA?
- Please tell us why you would like to become a member of UABA:
- Have you ever been suspended, for any reason, from any registry or club or caused a problem at a show site to where a Bench Show Committee had to become involved?
- If yes, in order for your application to be considered fairly, write a brief explanation:
- Membership Type:
- If "Family Regular" has been selected, please list the names and ages of the additional member(s):
- I wish to receive club communication via
- SPONSORSHIP
  
  Sponsorship helps fast track your application, but is not needed. Our public Sponsor list can be viewed here.
  
  If you HAVE a Sponsor:
  Sponsor Requirements are detailed in the UABA Sponsor Form. Your Sponsor(s) will receive an email after you complete your application with a form, and they must complete and send this back to UABA.
  PLEASE NOTE: You must contact your Sponsor(s) and confirm that they are able/willing to sponsor you before you submit your application.
- Sponsor #1
  
  First NameLast Name
- #1 Email
  example@example.com
- Sponsor #2
  
  First NameLast Name
- #2 Email
  example@example.com
- If you DO NOT have a Sponsor:
  That is okay! Please fill out the sections below with as much detail as possible.
- Please describe your involvement and accomplishments within the breed and/or in the dog community as a whole:
- Please describe why you believe you are aligned with UABA:
- Please describe what benefit(s) you will bring to UABA if you are approved as a Member:
- Do you have any contacts or references within the American Bully community that might assist us in learning more about you?
- Who are the 2 closest people to you in the dog world? We just want to get to know you better! Please include their FB Name and the breed(s) owned.
  This can be anyone from any breed!
- I understand for my application to be considered, I must submit payment of my dues. I submitted this payment in full via:
- You may use this space to include any additional information you wish to include with your application:
- UABA Code of Ethics
- I have read and agree with UABA's Code of Ethics
- UABA Mission, Vision, Goals & Values
- I have read and align with UABA's Mission, Vision, Goals & Values
- UABA Bylaws
- I have read and agree with UABA's Bylaws
- I hereby apply for membership in UABA and agree to abide by its By-Laws, Code of Ethics and rules of the United Kennel Club. Violations of any could be grounds for expulsion from UABA membership.
  
  First NameLast Name
- How many of those have earned UKC Titles?
- Should be Empty:

UABA Membership Application Form