Annual Renewal About youName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Primary Phone*Alternate Contact PhoneAlternate PhoneBest time to callBreed(s) you representSelect any breeds that you are the Breed Rep for.Rep Breed 1 BasenjiBernese Mountain DogBorder TerrierBoston TerrierBull TerrierBulldogChow ChowCollieCurly-Coated RetrieverDachshundDoberman PinscherEnglish BulldogEnglish SetterFrench BulldogGerman Shorthaired PointerGerman Wirehaired PointerGordon SetterGreat DaneGreater Swiss Mountain DogIrish Red and White SetterIrish SetterJapanese ChinKeeshondKerry Blue TerrierLabrador RetrieverLhasa ApsoLlewellin SetterManchester TerrierMexican HairlessMiniature Bull TerrierMiniature SchnauzerNewfoundlandNorwegian ElkhoundOld English SheepdogPekingesePharaoh HoundPomeranianRhodesian RidgebackRottweilerSamoyedSchipperkeScottish TerrierSealyham TerrierShetland SheepdogShih TzuStandard SchnauzerTibetan SpanielWelsh TerrierWest Highland White TerrierXoloitzcuintleRequiredRep Breed 2 BasenjiBernese Mountain DogBorder TerrierBoston TerrierBull TerrierBulldogChow ChowCollieCurly-Coated RetrieverDachshundDoberman PinscherEnglish BulldogEnglish SetterFrench BulldogGerman Shorthaired PointerGerman Wirehaired PointerGordon SetterGreat DaneGreater Swiss Mountain DogIrish Red and White SetterIrish SetterJapanese ChinKeeshondKerry Blue TerrierLabrador RetrieverLhasa ApsoLlewellin SetterManchester TerrierMexican HairlessMiniature Bull TerrierMiniature SchnauzerNewfoundlandNorwegian ElkhoundOld English SheepdogPekingesePharaoh HoundPomeranianRhodesian RidgebackRottweilerSamoyedSchipperkeScottish TerrierSealyham TerrierShetland SheepdogShih TzuStandard SchnauzerTibetan SpanielWelsh TerrierWest Highland White TerrierXoloitzcuintleRep Breed 3 BasenjiBernese Mountain DogBorder TerrierBoston TerrierBull TerrierBulldogChow ChowCollieCurly-Coated RetrieverDachshundDoberman PinscherEnglish BulldogEnglish SetterFrench BulldogGerman Shorthaired PointerGerman Wirehaired PointerGordon SetterGreat DaneGreater Swiss Mountain DogIrish Red and White SetterIrish SetterJapanese ChinKeeshondKerry Blue TerrierLabrador RetrieverLhasa ApsoLlewellin SetterManchester TerrierMexican HairlessMiniature Bull TerrierMiniature SchnauzerNewfoundlandNorwegian ElkhoundOld English SheepdogPekingesePharaoh HoundPomeranianRhodesian RidgebackRottweilerSamoyedSchipperkeScottish TerrierSealyham TerrierShetland SheepdogShih TzuStandard SchnauzerTibetan SpanielWelsh TerrierWest Highland White TerrierXoloitzcuintleRep Breed 4 BasenjiBernese Mountain DogBorder TerrierBoston TerrierBull TerrierBulldogChow ChowCollieCurly-Coated RetrieverDachshundDoberman PinscherEnglish BulldogEnglish SetterFrench BulldogGerman Shorthaired PointerGerman Wirehaired PointerGordon SetterGreat DaneGreater Swiss Mountain DogIrish Red and White SetterIrish SetterJapanese ChinKeeshondKerry Blue TerrierLabrador RetrieverLhasa ApsoLlewellin SetterManchester TerrierMexican HairlessMiniature Bull TerrierMiniature SchnauzerNewfoundlandNorwegian ElkhoundOld English SheepdogPekingesePharaoh HoundPomeranianRhodesian RidgebackRottweilerSamoyedSchipperkeScottish TerrierSealyham TerrierShetland SheepdogShih TzuStandard SchnauzerTibetan SpanielWelsh TerrierWest Highland White TerrierXoloitzcuintleSelect any breeds that you are the Co-Rep for.Co-Rep Breed 1 Afghan HoundAustralian Cattle DogAustralian ShepherdBasenjiBernese Mountain DogBorder CollieBorder TerrierBorzoiBoston TerrierBull TerrierBulldogCairn TerrierCollieCurly-Coated RetrieverDoberman PinscherEnglish BulldogEnglish SetterEnglish ShepherdFrench BulldogGerman Shorthaired PointerGerman Wirehaired PointerGolden RetrieverGordon SetterGreat DaneGreyhoundIbizan HoundIrish Red and White SetterIrish SetterIrish Water SpanielIrish WolfhoundJapanese ChinKeeshondKerry Blue TerrierLabrador RetrieverLakeland TerrierLhasa ApsoLlewellin SetterManchester TerrierMexican HairlessMiniature Bull TerrierMiniature PinscherMiniature SchnauzerNewfoundlandNorwegian ElkhoundOld English SheepdogPharaoh HoundPomeranianRat TerrierRhodesian RidgebackRottweilerSalukiSamoyedSchipperkeScottish DeerhoundScottish TerrierSealyham TerrierShetland SheepdogShih TzuStandard SchnauzerSwedish ValhundTibetan SpanielWelsh Corgi, PembrokeWelsh TerrierWest Highland White TerrierWhippetXoloitzcuintleCo-Rep Breed 2 Afghan HoundAustralian Cattle DogAustralian ShepherdBasenjiBernese Mountain DogBorder CollieBorder TerrierBorzoiBoston TerrierBull TerrierBulldogCairn TerrierCollieCurly-Coated RetrieverDoberman PinscherEnglish BulldogEnglish SetterEnglish ShepherdFrench BulldogGerman Shorthaired PointerGerman Wirehaired PointerGolden RetrieverGordon SetterGreat DaneGreyhoundIbizan HoundIrish Red and White SetterIrish SetterIrish Water SpanielIrish WolfhoundJapanese ChinKeeshondKerry Blue TerrierLabrador RetrieverLakeland TerrierLhasa ApsoLlewellin SetterManchester TerrierMexican HairlessMiniature Bull TerrierMiniature PinscherMiniature SchnauzerNewfoundlandNorwegian ElkhoundOld English SheepdogPharaoh HoundPomeranianRat TerrierRhodesian RidgebackRottweilerSalukiSamoyedSchipperkeScottish DeerhoundScottish TerrierSealyham TerrierShetland SheepdogShih TzuStandard SchnauzerSwedish ValhundTibetan SpanielWelsh Corgi, PembrokeWelsh TerrierWest Highland White TerrierWhippetXoloitzcuintleCo-Rep Breed 3 Afghan HoundAustralian Cattle DogAustralian ShepherdBasenjiBernese Mountain DogBorder CollieBorder TerrierBorzoiBoston TerrierBull TerrierBulldogCairn TerrierCollieCurly-Coated RetrieverDoberman PinscherEnglish BulldogEnglish SetterEnglish ShepherdFrench BulldogGerman Shorthaired PointerGerman Wirehaired PointerGolden RetrieverGordon SetterGreat DaneGreyhoundIbizan HoundIrish Red and White SetterIrish SetterIrish Water SpanielIrish WolfhoundJapanese ChinKeeshondKerry Blue TerrierLabrador RetrieverLakeland TerrierLhasa ApsoLlewellin SetterManchester TerrierMexican HairlessMiniature Bull TerrierMiniature PinscherMiniature SchnauzerNewfoundlandNorwegian ElkhoundOld English SheepdogPharaoh HoundPomeranianRat TerrierRhodesian RidgebackRottweilerSalukiSamoyedSchipperkeScottish DeerhoundScottish TerrierSealyham TerrierShetland SheepdogShih TzuStandard SchnauzerSwedish ValhundTibetan SpanielWelsh Corgi, PembrokeWelsh TerrierWest Highland White TerrierWhippetXoloitzcuintleCo-Rep Breed 4 Afghan HoundAustralian Cattle DogAustralian ShepherdBasenjiBernese Mountain DogBorder CollieBorder TerrierBorzoiBoston TerrierBull TerrierBulldogCairn TerrierCollieCurly-Coated RetrieverDoberman PinscherEnglish BulldogEnglish SetterEnglish ShepherdFrench BulldogGerman Shorthaired PointerGerman Wirehaired PointerGolden RetrieverGordon SetterGreat DaneGreyhoundIbizan HoundIrish Red and White SetterIrish SetterIrish Water SpanielIrish WolfhoundJapanese ChinKeeshondKerry Blue TerrierLabrador RetrieverLakeland TerrierLhasa ApsoLlewellin SetterManchester TerrierMexican HairlessMiniature Bull TerrierMiniature PinscherMiniature SchnauzerNewfoundlandNorwegian ElkhoundOld English SheepdogPharaoh HoundPomeranianRat TerrierRhodesian RidgebackRottweilerSalukiSamoyedSchipperkeScottish DeerhoundScottish TerrierSealyham TerrierShetland SheepdogShih TzuStandard SchnauzerSwedish ValhundTibetan SpanielWelsh Corgi, PembrokeWelsh TerrierWest Highland White TerrierWhippetXoloitzcuintleCommentsI Hereby acknowledge the following polices and agree to abide by them. (Click each box) Be sure to read the SPDR Mission StatementTerms of Breed Representative's Agreement* Select All I agree to respond to each person who contacts me about a dog within ONE WEEK of receiving their paperwork, by phone, email, or postal mail. I will remember in all my dealings with the public as a breed representative that I represent SPDR, and that the public will consider my words and actions regarding rescue to be representative of the attitudes and positions of SPDR as an organization. I understand that I am not authorized to speak for SPDR, nor can I enter into any agreements for SPDR; any such activity will be referred to the Board of Directors. I have read and understand the SPDR mission and will not undertake any actions that could be considered inconsistent with the mission. If I engage in any activities of a political or controversial nature, they will only be done as an individual, separate from any association with SPDR. I understand that all SPDR rescue dogs are required to be neutered. In the case of any unaltered dog that I handle, I will either neuter the dog before placement, or set a date by which I must receive a neuter certificate from the adopter’s veterinarian. I understand that all SPDR rescue dogs must not have any prior history of human aggression, nor may any dog I handle as an SPDR rescue dog have bitten a human at any time. I will not sell or place any SPDR rescue dog with a research facility, petshop, dogbroker, puppymill, or other person, firm or corporation that may cause harm to the dog or sell the dog for profit. I understand that I am personally responsible for any and all financial expenses that I incur in my efforts to rescue dogs for SPDR. If I apply to SPDR’s Breed Rescue Fund for reimbursement, I agree to abide by its rules, and provide receipts for each expense. I agree that any expenses over $800 for an individual dog must be preapproved by the Board of Directors. I accept full responsibility for any expenses incurred by me that fall outside of approved expenditures. I understand that ALL money that comes into my possession as a result of the placement of an SPDR rescue dog is SPDR money, although I may be reimbursed by SPDR for expenses. I understand that I represent a non-profit organization and can NEVER profit from any activity related to the organization. I understand that SPDR cannot guarantee or be held responsible for the temperament, behavior, or health of rescue dogs that I may handle. I am aware that rescue dogs may cause damage to my personal property, other pets, and humans. I will keep dogs securely contained at all times while in my care. I understand that it is my decision to rescue dogs for SPDR. I will not hold SPDR liable for any damage, injury or harm caused directly or indirectly through my rescue activities with SPDR. I carry insurance coverage in the event of personal or liability damages resulting from rescuing dogs for SPDR. I agree to keep statistics and records of dogs handled, release and adoption forms, monies collected, and expenses incurred for each and every rescue dog. I further agree that the SPDR Board of Directors may view these records at any time. In the event of resignation or termination, I hereby agree to turn over the rescue dog records to SPDR within ten days of resignation or request date. I further agree that upon termination, all breed representative rescue records become the property of SPDR. I agree to read, routinely review, update, and abide by the SPDR Breed Rep Handbook, which will be provided to me if I am approved as a breed rep. I understand that my breed rep position will be terminated by the Board of Directors if my conduct is deemed in opposition of the mission of SPDR, or detrimental to the best interests of SPDR. I understand and agree to all of the above, and support the mission of SPDR.
