National Wolfdog Alliance - Membership Application

You do not have to own animals to become a member of the Alliance. The desire to learn and care for the Wolfdog is what we ask of those seeking membership.

New Membership      Renewal

Please mark any of the following that you have an interest, talent, skill or are willing to assist with:

    Editing or publishing of newsletter
    Printing of Publications
    Fundraising    Accounting
    Rescue facilities, (operation of or interest in working with)
    Animal adoption   Transporting animals   Animal fostercare
    Transcription into foreign languages
       Which language(s)
    Special expertise in genetics, immunology, ect.
    Veterinarian or Veterinary Technician
    Other scientific field of study related to animals
    Computer skills in web design
    Other computer skills useful to this org.
    Legal expertise, i.e.  attorney    paralegal

I would like to be involved with (Please check 1 or more):

Educational Committee     Legislative Committee
Rescue Committee

As a member of this organization, I hereby agree to the following:

    1.   To abide by the Bylaws and Principles of the Organization.

    2.   To complete tasks and assignments in a timely manner regarding Committee assignments.

    3.   I will remain current in my membership dues.

    4.   That I have not been convicted of any crime involving animal abuse or neglect of any kind.

    It is further agreed if I own animals:

    1.   I will represent my animals by their correct lineage, content, and temperament to the best of my knowledge and ability.

    2.   I agree not to use the NWA name in any form of advertising for any breeding / kennel, commercial or private enterprises.

    3.   I will provide humane care for my animals at all times.

    4.   I agree not to use a chain or tether as a primary source of containment for my animal(s). A waiver may be granted and assistance given regarding primary enclosures and containment of one's animal(s).
            Please check this box if waiver is sought.
            Please provide detailed information on your circumstances
            and current penning conditions in the space below for consideration.
           

Providing false information on this application can be cause for membership cancellation. If you have specific housing or containment concerns or specific questions regarding any aspect of the Membership Application, PLEASE use the text area at the bottom of this section to detail your questions or situations, as the Alliance wishes to be of assistance to the needs of you and your animals.

Signature: *     Date: , 2003
* Online signature is the equivalent of your handwritten signature. By signing here you agree to have read and accept the National Wolfdog Alliance's Bylaws available at http://www.wolfdogalliance.org/bylaws.html

Your Name:   
Business Name:

Street Address:  
City:    State (or Province):
Zip:    Country:

Telephone:    Fax:

E-mail Address:
Web page URL:

Please use the remaining area for additional information that may be needed to complete your Membership Application.

As one of the principles of this organization is the education of its members and all wolfdog owners for the betterment of wolfdogs and their owners, the organization willingly accepts applications from those that seek the same.

To apply by mail:

    1. Print this page.
    2. Mail completed application with to:

    National Wolfdog Alliance
    Membership Application
    P.O. Box 2757
    Loves Park, IL 61132-2757

Please Note:

All information contained in the Membership Application of the National Wolfdog Alliance is confidential. No information will be given to any person or entity for any purpose.

Thank you for your interest in the National Wolfdog Alliance !!!