APPLICATION FOR MEMBERSHIP
NORTHWEST AMERICAN PIT BULL
TERRIER CLUB
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Applicant:

Spouse’s Name

Address:

City______________________________________ State____ Zip_____________

Home Phone (___)_____________________ Cell (___)__________________________
Fax or Message (___)_____________________

Email ______________________________________

I/We own:
______ number of UKC registered APBT’s
______ number of unregistered APBT’s
______ number of UKC registered dogs of other breeds.
______ number of unregistered dogs of other breeds

I was referred by:_______________________________________________________________

I/We are interested in (check all that apply)

Showing Tracking_______Breed Rescue_______
Breeding_______ Breed Specific Legislation_______ Public Education_______
Weight Pull_______ Obedience_______ Agility_______
Fly Ball_______ Service Work_______Therapy Dogs_______

I/We would like to assist the club with:
_______________________________________________________________________________

Include membership fee:
Single Membership $20.00
Spouse Membership $7.00

Make check payable to NWAPBTC and remit with signed application to:

Dr. Cay Gilbertson
340 South Forest
Bellingham, WA 98225

The club’s goals are:
To bring together people mutually interested in the American Pit Bull Terrier
To encourage and promote the responsible breeding of top quality APBT’s.
To encourage the dissemination of information concerning the American Pit Bull Terrier.
To advocate the acceptance of breed standards.
To offer shows licensed by the United Kennel Club
To work in partnership with the National American Pit Bull Terrier Association

Applicants accept and agree to follow the standard bellow:

NO INDIVIDUAL OR GROUP OF INDIVIDUALS KNOWN TO PROMOTE, SUPPORT, RAISE DOGS FOR FIGHTING, KNOWINGLY SELL, GIVE OR TRADE DOGS THAT WILL BE USED IN FIGHTING, CONDONE OR BE ASSOCIATED WITH THE FACING OFF, GAME TESTING, ROLLING OR PITTING OF DOGS WILL BE TOLLERATED OR ALLOWED MEMBERSHIP IN THIS ASSOCIATION. SUCH INDIVIDUALS WILL BE BANNED FROM ALL UKC EVENTS AND CLUBS WITH NO REINSTATMENT AT ANY TIME.


Today’s Date _______________
Primary Applicant’s Signature ___________________________________
Associate Applicant’s Signature__________________________________