Badger-PAH Membership Application
This is the membership application for Badger Pets and Handlers. Please fill out all of the required information below and submit. It can take up to 48 hours for applications to be reviewed.

Our privacy policy regarding how this information will be utilized can be found here: https://badgerpah.org/governance/
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Email *
First Name *
Please enter your legal first name.
Last Name *
Please enter your legal last name.
Preferred / Persona Name
If you have a name other than your legal name you wish to use (nickname, persona name, etc.) please enter it below.
What are your preferred pronouns? *
Select all that apply. If other, please specify.
Required
In which STATE do you currently reside? *
In which CITY do you currently reside? *
Phone number
Date of Birth *
MM
/
DD
/
YYYY
Additional Information
Please include any additional information you would like us to know. This information should include any known allergies or health concerns.
How did you hear about Badger Pets and Handlers?
If you were invited by a friend/recommended by a member, please include their name.
If you would like to be added to our MEMBERS ONLY Telegram chat, please share your Telegram handle here.
JOIN OUR COMMUNITY CHAT HERE: https://t.me/badgerpah  |  (An additional member-only chat is available to registered members. Please ask a Board Member for assistance.)
If you would like to be added to the MEMBERS ONLY section of our Discord server, please share your Discord handle here.
JOIN OUR SERVER HERE: https://discord.gg/MJJC9mw  |  (Additional member-only sections are available to registered members. Please ask a Board Member for assistance.)
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