Membership Application

 Please fill out the form below as completely as possible.
 It will be emailed to the ACDRA Secretary, who will then get
 back to you regarding the status of your application.

 ACDRA membership is free, so we’d like to ask you to consider
 making a donation. You can do so very easily by clicking on the
 PayPal “Donate” button at the bottom of this form. Thanks!

 

Please note: While membership is free, it must be renewed on an annual basis!
Now it’s easier than ever with this web-based form.

Membership Form

Type of Membership (Please Select Below):

Name:

Last: First: Initial:

Street Address:
City: , State: Zip:

Phone Number:

E-Mail Address:

Occupation:
Kennel Name (if applicable):
What attracted you to the Australian Cattle Dog?

What attracted you to Rescue?

Do you presently own an ACD? If so, for how long?
Do you plan to breed your ACD?
If yes, are you aware of the genetic and hereditary problems present in the breed?
Are you a member of the Bull Run Australian Cattle Dog Club?
Are you a member of the North Atlantic Australian Cattle Dog Club?
Are you a member of the Australian Cattle Dog Club of America?
If a member, are you in good standing with the AKC?
Please list any other dog clubs you belong to (past and present) and positions you have held:

ACDRA is not a social club, it is a working club. How do you plan to help?

Do you know any current ACDRA members?
If so, who?
Additional Comments:

*



Please consider making a donation to the ACDRA by clicking on the “Donate” button below: