WDSAA Membership Application

WDSAA Membership Application

This application cannot process more than one application type at a time. Please reapply for any additional membership types with a new application.
Full (Single) Membership -Open to persons 18 years of age and older, residing within the United States or any US territory at the time of joining. Full members are eligible to participate in WDSAA events and programs, vote, hold office and/or serve on WDSAA committees.

Family Membership – Open to two persons 18 years of age and older, living in the same household and residing within the United States or any US territory at the time of joining. Both members are eligible to participate in WDSAA events and programs, vote, hold office and/or serve on WDSAA committees.

Junior Membership – Open to persons 17 years of age and younger, residing within the United States or any US territory at the time of joining. Junior members are eligible to participate in WDSAA events and programs, but are not eligible to vote, hold office and/or serve on WDSAA committees.

Associate Membership (Foreign) – Open to persons 18 years of age and older, not residing within the United States or any US territory at the time of joining. Associate members are eligible to participate in WDSAA events and programs, but are not eligible to vote, hold office and/or serve on WDSAA committees. The Board may choose to allow associate members to vote in special circumstances. If the Board elects to allow voting by associate members, all associate members will be given equal voting privileges.
New or Renewal?

If you have ever been issued a membership number with WDSAA, even if membership has lapsed, please select renewal.
What membership type are you applying for?*

New IndividualNew FamilyNew JuniorNew AssociateRenewal IndividualRenewal FamilyRenewal JuniorRenewal Associate
Name

First NameLast Name
Membership Number
Email (Please use email you want to associate with you WDSAA login)*
example@example.com
Phone Number
Please enter a valid phone number.
Family Membership Second Name

First NameLast Name
Second Member Membership Number
Second Member Email (Please use email you want to associate with you WDSAA login)
example@example.com
Second Member Phone Number
Please enter a valid phone number.
Junior Membership Name

First NameLast Name
Junior Membership Number
Junior Member Email (If Applicable)
Junior Member Phone Number
Please enter a valid phone number.
Parent/Guardian Signature

Clear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
City*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
State*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Postal / Zip*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country*
Do you currently compete in any of the following with your Dutch Shepherd? Select all that apply.*

NoneIGPMondioringFrench RingPSAOther BitesportConformationAgilityObedienceNoseworkBarnhuntDock DivingFast CatDisc DogOther Performance Sport
Are you currently a Police K9 Handler (single or dual) with a Dutch Shepherd?*

YesNo
If you don't currently compete, are you interested in a WDSAA member reaching out to you about how to get involved in dog sports? Select all that apply.*

NoYes, conformationYes, performance sportsYes, bitesports
I, the undersigned, agree to abide by the rules and regulations of the Working Dutch Shepherd Association of America and its purpose in promoting and preserving the working Dutch Shepherd in character and health, consistent with the objectives set forth by the WDSAA. I also attest that I am not currently under sanction from any American Working Dog Federation member organization. By selecting this box, I also agree to abide by the bylaws set forth by WDSAA. This includes but is not limited to being free and clear of any and all allegations or pending court cases of animal abuse or neglect set forth by the laws of my respective municipality, county, and state of residence.
Signature*

Clear
Date*

MonthDayYear
Date

My Products

Individual

$50.00

Family

$85.00

Junior

$20.00

Associate

$40.00

Enter coupon

Total

$0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

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WDSAA Membership Application

New or Renewal?