Enter N/A if individual membership.
Note: Members with an email address will receive the annual Membership Roster via email. Make certain we are notified if your email address changes. Enter N/A to have the Roster mailed.
Note: Membership applications will not be processed unless a sponsor name is listed and your sponsor completes the Sponsor Form.
By selecting "AGREE," I agree to comply with the Code of Ethics, to support the Constitution and Bylaws and to strive to fulfill the Mission and Vision of the Border Collie Society of America.
By selecting "YES", I confirm that it has the same effect as my personal signature.
Select N/A if Individual Membership. Household Membership: By selecting "YES," I confirm that it has the same effect as my personal signature.
If you plan to pay by check, BEFORE YOU CLICK SUBMIT, please print this page now using your browser's PRINT option. Mail a copy of it, along with a check made payable to BCSA to New Member Application, c/o Adrian Smith, Treasurer, PO Box 940322, Simi Valley, CA 93094
Applicant Profile: Canine Information
Please provide the following information to help us get to know you better.
Applicant Profile: Personal Information
List areas of Club-related activity in which you would like to become involved.
List Committees on which you would like to serve.
If you are an approved judge for any canine activity, list which activity and organization (ex, Herding/AKC), or enter N/A.
Enter any special notes needed.