Application Type *

New Member Application
Membership Renewal

Legal Name *

First

Last

Pup/Persona Name *

Inclusion of Pup/Persona Name in Public Materials *

Yes
No

Please select whether you want your Pup/Persona Name included in any of NSKC's public materials (e.g., newsletter, posts on Facebook, etc.)

Referring Member

Please tell us the name of the member that referred you to the NSKC. This is not required, but will speed up the membership application process.

Email Address *

Email

Confirm Email

Phone Number *

Mailing Address *

Address 1

Address 2

City *

City

State *

State

ZIP/Postal Code *

ZIP/Postal Code

Country

Date of Birth *

Have you already paid your membership dues? *

Yes (indicate how in the space below)
No - I will pay online when I complete my application.
No - please contact me.

How did you pay?

Do you require assistance in paying your dues? *

Yes
No

If you require assistance in paying your dues, the Membership Committee will contact you to make arrangements.

Allergies and Health Concerns

The NSKC wants to ensure that our members are safe and can participate as fully as possible. Please let us know if there are any allergies or other health-related concerns you feel we should be aware of when coordinating our events.

Additional Information

Please let us know if there is anything else we should know about you.

Acceptance of Terms *

I agree and accept.

By submitting this application, I am requesting to become a member of the North Star Kennel Club (NSKC). If accepted, I pledge to represent the club as a positive, welcoming, and safe space for all human pups, handlers, and guests. By submitting this application, I understand and agree to the terms and conditions of the application.

June 2019 Public Mosh

June 2019 Business Meeting

July 2019 Public Mosh

July 2019 Business Meeting

North Star Kennel Club and Badger-PAH Mosh

Membership Application