Breeder Application

JOIN US!

Thank You for your interest in the ISSDC. If you wish to become a Breeder Member, please complete this application fully and submit.

Breeder Application 2022

Section 1 : BREEDING APPLICATION

Application Type
Membership Card Type
Membership Type

Section 2 : BREEDER MEMBER INFO

Name
Name
First
Last

FAMILY MEMBERSHIP
Family/Household Membership = two members same household. Household defined as residing at the same physical address.

List your Plus 1 Family Member and their immediate relationship to you and their email below.

renewing members can skip to Section 4 if no additional changes to submit
How did you hear about the ISSDC? What attracted you to the ISSDC?
Are you a member of any other dog club(s)? If so, please list which clubs and whether or not you hold any positions in that club.

Section 3 : ABOUT YOUR KENNEL

List both the registered and call name of your Shiloh Shepherd(s)
Kennel Type
Your breeding stock consists of...
DNA
Do you do parentage DNA on your breeding stock?
DNA filing
Is your parentage DNA on file with a Shiloh Shepherd registry? This will be required in order to participate in ISSDC advertising opportunities.
Health Testing
What health testing do you do on your breeding dogs?
Registry
What registry(s) are your dogs registered with (check all that apply)
Visitation
Do you allow potential puppy families to visit your kennel/dogs?
Puppy Pickup
Do you allow families to pick up their puppies from your home?
Shipping
Do you ship puppies?

Section 4 : PAYMENT OPTIONS

Payment Option
I agree that my membership will be suspended in the event payment is not received in a timely manner.

Section 5 : ACKNOWLEDGEMENTS

As an ISSDC Member, you...
Message to our membership chair and/or your correct email address if noted differently above.

NOTE: All membership dues to be paid in $US Dollars

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Having trouble with this online form? please use one of the following Mail In Form
and return to the address listed on the form. [PDF]

The ISSDC, Inc. retains the right to refuse or revoke membership.