Membership Form – Havanese Breed Society UK

Membership Type

Contact Name

First

Last

For junior memberships – parent or guardian details should be provided

Other member names

For joint and family memberships, list the full names of all members

member Do Declarations

Email

Confirm Email

For junior memberships – parent or guardian details should be provided

Address

For junior memberships – parent or guardian details should be provided

Phone Number

For junior memberships – parent or guardian details should be provided

If you are under 18, please provide your name and month & year of birth

For junior members only

Parent/Guardian Consent

I confirm that I am the parent/guardian of the junior member named above and consent to their data being used for membership purposes

For junior memberships only

Do you own a Havanese?

Breeder Scheme

Tell us any other details (e.g. awards, shows, results)

Do you know any current committee members?

If yes, detail who

Are you currently a member of any other Havanese breed clubs or societies?

If yes, please list below

Reasons for joining the Society

How did you hear about the Havanese Breed Society UK?

Required Declarations

I agree to abide by the rules of the Havanese Breed Society UK. (required)
I consent to my data being held and used in accordance with the Society’s Privacy Policy. (required)

Other Declarations