First Name *

Last Name *

Email *

Phone *

Address Line 1 *

Address Line 2

City *

State *

Postal / Zip code *

Country *

Create Password *

Confirm password *

Social Media Profile Link (eg. Facebook)

Age *

Your First Sponsor *

The sponsor must be a current member in good standing of the BCCUSA

Your First Sponsors Email ?

Your Second Sponsor *

The sponsor must be a current member in good standing of the BCCUSA

Your Second Sponsors Email ?

Select your preferred Membership *

I agree to fully comply with BBCUSA Constitution, Bylaws and Code of Ethics LINK to THIS. I understand and acknowledge that providing my name in these boxes constitutes a legal signature provided electronically. Individual and household applications agree that the signature serves as acceptance *

Your First Name *

Your Surname *

Your Interest (s) *

Herding
Conformation
Agility
Obedience
Social
Other

Select all that apply

Titles *

How many AKC events did you compete in over the last 12 months ? *

How many non AKC events did you compete in over the last 12 months *

What breeds do you own ? *

How many Border Collies do you own ? *

Your occupation *

Club activities and Committees *

Border Collie Litters Bred last 3 years ? *

Are you an Approved Judge ?

What Activity(ies) are you an Approved Judge for ? *

Add any other detail or information here

Thank you for Applying for BCCUSA Membership

We appreciate your application.

We will get back in touch with you soon to advise on the status of your application

Have a great day !

Thank you for Applying for BCCUSA Membership

We appreciate your application.

We will get back in touch with you soon to advise on the status of your application

Have a great day !

BCCUSA Membership Application

This is an application for membership of the BCCUSA. The application is subject to approval by the BCCUSA

Thank you for Applying for BCCUSA Membership

Thank you for Applying for BCCUSA Membership

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