HOUSTON AREA HERDING ASSOCIATION
MEMBERSHIP APPLICATION
 (use the other side if you need more room)


 NAME_______________________________________________________________________________

ADDRESS____________________________________________________________________________

___________________________________________________________________________

PHONE NUMBER_________________________ EMAIL________________________________________

Do you have herding experience: ___Yes ___No Have you trialed any of your dogs: ___Yes ___No
If yes, how long have you been trialing:_______________________________________________________

How often in the past three years : ___________________________________________________

With what association: ___AKC ___ASCA ___AHBA ___TSDA ___USBCHA ___Other

How would you rate your herding knowledge: ___ Beginner ___Intermediate ___Advanced

Breed(s) of Herding Dogs ________________________________________________________________

Names of Dogs (Titles/Sex) _______________________________________________________________

__________________________________________________________________________

__________________________________________________________________________


Training Experience:

Do you own your own stock: ___Yes ___No If so, do you train others: ___Yes ___No

Do you train with someone on a regular basis: ___Yes ___No If so, who: __________________________

Are you accredited or licensed by any association as a herding judge: ___Yes ___No

If yes, which association(s): ______________________________________________________________

As a member of the club, are you willing to act as:

___Officer. If so, which office(s): ___________________________________________________
___ Newsletter editor ___ Stock handler ___Secretary for trial/match

___ Scribe at trials ___ Show chairman for trial/match ___Match judge

___ Committee member ___Trial/match worker

________________________________________________ _______________________
Signature of applicant(s) Date of Application

Mail To:                                                                                      Fees: Circle one: $15 Affiliate
Liz Outlaw/17514 Nordway Dr/ Houston, TX 77084                                             $20 Full Membership $30 Family
Make checks out to: Houston Area Herding Association