Membership Info Update

Legal Name *

First Name

Last Name

Pronouns *

(You may select more than one)

He/Him

She/Her

They/Them

Ze/Zir

Other

How do you identify yourself? (You may tell us any specifics in the other field.) *

(You may select more than one)

Pup

Pet/Critter

Handler

Supporter

Other

Date of Birth *

(Required to confirm over the age of 21)

MM

DD

YYYY

Email Correspondence *

I authorize the Bayou City Pups to send correspondence related to the organization via the email provided (including newsletters, membership dues invoicing, correspondence, etc.).

YES, I authorize the Bayou City Pups to send email correspondence related to the organization.

NO, I do not authorize the Bayou City Pups to send email correspondence related to the organization and understand it is my responsiblitiy to obtain any information on my own including information regarding special meetings, membership dues, and general information related to the organization.

Phone *

(###)

###

####

Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country