Club Membership Registration Form

SCSBTS - Club Membership

Complete this form for both new membership and membership renewals to ensure details are correct.
Member Name*

First NameLast Name
Additional Member Name

First NameLast Name
If you wish to add additional members to your family membership, please email scsbts@gmail.com with these details
Renew MembershipNew Membership
E-mail*
Phone

Area CodePhone Number
Mobile

Area CodePhone Number
Address:*

Street Address

Street Address Line 2

City

Postal / Zip Code
Do you own a Staffordshire Bull Terrier?*

YesNo, just love the breed!No, but looking to add one to the family

Stafford Details

	Dog Name	M/F	Age	Colour	Registry	Registration Number
Stafford 1
Stafford 2
Stafford 3
Stafford 4

What is your interest in Staffordshire Bull Terriers?*

Family PetsBreedingSports (Agility, Obedience, Rally-O etc.)Breed ShowingOther
Where did you hear about us?

A Friend or colleaugeGoogleFacebookOther
Subscription Type*
Please select your membership type and any additional subscriptions. If you wish to have a stud and/or breeder listing, please provide these details below
Donation*
SCSBTS is a fully volunteer run club and any donations go directly to funding activities such as ribbon parades, fun days, championship shows. We appreciate all donations
Stud Directory Details
Dog's Registered Name, Registration Number, Stud Contact Details & LRL Health Testing Status. Please note, we only advertise studs who are registered with DogsNZ and have the relevant health testing as per the LRL. SCSBTS require evidence of the relevant health testing for the LRL, you can upload this below or email this to us.
Stud Directory Health Testing Evidence

Browse Files
Please upload relevant health testing that shows your stud complies with the LRL. Cancelof
Breeders Directory
Kennel Name and Contact Details. Please Note: SCSBTS only advertises kennels registered with DogsNZ and who are current financial members with both DogsNZ and SCSBTS. SCSBTS reserve the right to check the status of your kennel with DogsNZ before approving.
Membership Rules
- Membership is for owners of purebred Staffords, or anyone who has an interest in the Staffordshire Bull Terrier breed.
- Members agree to abide by the SCSBTS (Inc) Society Rules 2020
Privacy Policy
- All details on this form are kept private to the club and will not be disclosed to anybody outside of the Staffordshire Bull Terrier Society
- All members are to keep private any personal details of any other SCSBTS member, unless approved by the said member.
I have read, understood, and accepted the rules for membership.I have read, understood, and accepted the privacy policy for membership.
I have read, understood, and accepted the PRIVACY POLICY for membership.
Total Payment Due
Please pay this amount into the SCSBTS bank account provided below
Forms of payment:

Internet Banking: (BNZ) 02-0772-0331002-000

(include your name and "membership" in the reference fields)

Please ensure payments are made within 2 working days of completing this form
If this is a new membership, your membership application will be put forward for approval at the next committee meeting as per the club rules.

Once your membership has been approved, we will be in contact.
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SCSBTS - Club Membership