Membership Application

If you would prefer to mail your payment, print out the application, complete the required information, and mail it with your check (or scan and email it with your credit card billing information) to the USCA office as indicated on the application.

"*" indicates required fields

Name*

First Last

Street Address*

Street Address Line 2

City*

State*

Zip Code*

Country*

Region

Home Phone*

Alternate Phone

Age*

Email*

Must be a Valid Email. An Email will be sent to you to Verify and Activate your Account.

Login Details

One of the benefits of USCA membership includes website resources available only to members. To access the MEMBERS ONLY section, you must have a Username and Password. Please create that login account here.

Username*

Please enter your preferred username to be used for login credentials.

Password*

Enter Password Confirm Password

Terms and Conditions

By signing, below, I consent to the indicated charges above being levied on my credit card, the number, etc. which I have specified, also above. By signing, below, I also represent and consent to the following:

1. Any disagreements related to my membership with the United Schutzhund Clubs of America will be irrevocably settled by arbitration using the American Arbitration Association and its rules. In order to simplify issues, I and the United Schutzhund Clubs of America agree that the maximum arbitral award shall be equal to and not greater than the membership dues and any contributions I have made by this application. This amount is defined as liquidated damages. Both myself and the United Schutzhund Clubs of America agree that this is a binding arbitration except in states that prohibit such clauses.

2. If accepted as a member, I agree to abide by the bylaws of the United Schutzhund Clubs of America and to conduct myself in a sportsmanlike manner at all times during USA events.

3. I understand that any false representations in this application are cause for revocation with no refund of dues.

I agree to stipulations 1, 2, and 3 and represent that the contents of this application are wholly true and accurate.

Payment Options

Membership Level*

Single Membership: $125.00

Family Membership: $187.50 (Two people at the same address – one magazine)

Single Membership (Foreign resident): $125.00

Family Membership (Foreign resident): $187.50

Youth Membership with Sports Medal Book (21 and Under): $30.00

Spouse Name*

First Last

Youth Date of Birth*

Total Charge

Price: $0.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Please show your support for our USA World Teams by including a donation:

$10.00

$20.00

Other

Amount ($)

Signature

Signature/Initials*

Hidden

Your Signature

Guardian Name*

First Last

Guardian Signature:*

*Guardian signature required for all youth members under the age of 18.

Comments

This field is for validation purposes and should be left unchanged.

Membership Application