Membership Application

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ONLINE APPLICATION FOR MEMBERSHIP FOR THE

UNITED POODLE ASSOCIATION

UPA membership is open to all persons in good standing with the United Kennel Club.

Please answer all questions.

1. Name(s): *

2a. Street Address *

2b. City, State and Zip Code *

2c. Zip Code (type this in because using suggested text leaves it off of 2b) *

3a. Email: *

3b. Phone # in 800-555-5555 format: *

Please

4. Membership Type: *

Single
Family
Junior

5. Two UPA Members (members for at least one year) that have AGREED to sponsor you. You must speak them about it before applying. If you do not know a UPA Member, then please go to UPA’s website’s member page and locate the ones nearest you by making contact with them through a phone call, email message or in person. List Sponsor #1 and Sponsor #2's full names below. *

6. Other Club Affiliations: *

7. Please tell us about your prior club experience (e.g. committees, judging, newsletter etc.). *

8. Reason for applying for UPA Membership: *

9. Please give a brief history of your involvement with dogs: *

10. Please list full registered names (with all titles) of any conformation or performance pointed or titled dog(s) you may have: *

If none, answer none.

11. What UPA activities would you be willing to participate in? Indicate all that apply. *

Club Elected Position
Help on a committee where needed
Stewarding at a show
Show/Trial Committee
Event Planning
Meet N' Greet at Premier
Fundraising
Education
Judging
Writing/editing articles
Other

Explain "other" in #11:

12. What dog activities do you participate in? Indicate all that apply. *

Agility
Assistance Dog
Conformation
Disk Dog
Dog Sport
Fly-Ball
Freestyle
Herding
Hunting/Field
Lure-Coursing
Obedience / Rally
Search & Rescue
Skijoring
Sledding
Therapy
Tracking
Weight-Pull
Dock Diving
Other

13. In what areas have you earned a UKC or other Kennel club title(s)? Indicate all that apply: *

Agility
Conformation
Rally/Obedience
Weight-Pull
Dog Sport
Dock Diving
Other

Explain "Other" in #13 above:

14a. Are you a breeder? If so what varieties? (please list any additional breeds here as well) *

14b. If you are a breeder, please list the health tests you do or require of the the sire and dam before breeding. *

14c. If you are a breeder, please list the sire and dam registered names for your most recent litter and links to their OFA profiles. If you don't post results to OFA, please indicate what your alternative is. . *

15. What services do you provide? (i.e.: handling, boarding, grooming, rescue, etc): *

16. Do you have more than 20 dogs on your premises? If yes, please state for what purposes: *

17. Have you ever had your UKC privileges revoked or been brought up on any legal charges that are pertaining to animals? If so, please explain: *

18. How do you feel about screening individuals with regards to the popularity of doodle breeding (whether it be for stud service, buying a puppy etc)? *

19. What is your kennel name? *

20. Do you want your name and location listed on the UPA website when your membership is approved? (Email can be added after 1 year and website after 2 years).

21. List your website address if you have one: http://www._______

22. Member’s website urls are added to UPA’s website on the second year from joining. Do you want it added at that time?

23. Please add a link to your facebook profile. *

24. Please add a link to your breeder Facebook page, if applicable. *

Please feel free to use this space to continue with any of your answers or provide us with any other relevant information. (copy)

After having read both the By-laws and the Code of Ethics for the United Poodle Association (hereafter referred to as the UPA) apply for membership into said club. I (we) agree to abide by all rules of the UPA and will make myself (ourselves) available for questions regarding ethical behavior, should the occasion arise. I (we) agree to do my (our) best to help in rescues, should I (we) be called on to do so, will be supportive of fellow club members whenever possible and will complete this application honestly without any intent of misrepresentation. Type in "I Agree" and then fill in your name(s) for applicant signatures and add the date. *

Applicant Signature *

Type in full name.

Husband/wife/significant other living in household if Family Membership

Type in full name(2) if applicable.

Please select membership that you are applying for: *

$15 Single Membership
$20 Family Membership
$10 Junior Membership

PLEASE NOTE: Dues should be sent at the same time as application. You have the option of sending a check or paying via Paypal (see instructions on membership page on website, but Paypal email is treasurer@unitedpoodleassociation.org. If using Paypal, please send a screenshot of payment showing the actual email (not just United Poodle Association) it was sent to, to upamembershipsecretary@gmail.com. If for some reason, your application is not approved by the board, the dues will be returned to you. See the membership page for instructions on methods of payment including a PayPal app on the page. https://unitedpoodleassociation.org/membership/ *

I understand I must pay dues at time of application.
I have paid via Paypal using instructions on the Membership page of the website.
I have mailed a check to the current Treasurer at the address on the Membership page of the website.

The United Poodle Association [UPA] reserves the right to decide in its absolute discretion what material of any nature will be published to this website. The UPA reserves the right to refuse to publish any material, to edit and/or change the format of any material, to place conditions on the publication of any material, and accepts no responsibility for error in the publication of any material. The opinions expressed in any material published herein are not necessarily those of the UPA. While the information in this web site is believed to be true and accurate, neither the Officers, authors or members of the UPA can accept any legal responsibility for any errors or omissions that may have been made. The UPA name and logos are the exclusive property of the United Poodle Association. In addition, any images and content from the former Multi-Colored Poodle Club of America and The United Poodle Breeders Association are also exclusive property of the United Poodle Association which is a merger of the two organizations. Reproduction of any images or text contained within all media produced by the United Poodle Association cannot be reproduced without expressed written permission.