VBA Membership Application
VBA PO Box 480 Pisgah Forest, NC 28768
1. Name:________________________________
2. Address:_____________________________
3. Telephone & E-mail:_________________________________
4. Name of dogge or dogges registered:______________________________
5. Do you plan to attend any VBA Shows?____________________________
6. Are you willing to help at VBA Events?_____________________________
7. Would you be interested in the VBA Inspection Program?_______________
8. Would you be interested in helping with VBA dogge rescue?____________
9. Are you a breeder?_______________________
10. If you are a breeder how many breeds are you involved in?__________
11. How do you keep your dogges: Kennel, Chain, Inside Home?_____________
12. Are you involved with any other dog association?______________________
13. Will you participate in answering questions for newcomers on the VBA message board?________________________________________________
14. Would you report animal abuse to the authorities if you have knowledge of animal abuse in your area ?________
15. What is your view on dog fighting? _________________________________
______________________________________________________________________
16. Do you vaccinate your dogs regularly?_________
17. Do you use heartworm preventative?___________
18. Are you willing to show vaccination & worming records before entering your dogge into VBA events?____________________
19. Will you help to promote the VBA?___________________
For any questions or comments please contact the VBA or the VBA Director [Paula Zuniga] . This is an application to become a member of the VBA, any information provided becomes the property of the VBA once this document is signed. The VBA has the right to cancel membership for falsification of any information above without refunding any fees that have been applied.
Applicant Signature:_______________________________