DACSTX MEMBERSHIP APPLICATION

What type of membership are you applying for?*

Household Membership $30Individual Membership $20Junior (9-17) FREE

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.

How long have you been involved with the Dogo Argentino breed?*

How many Dogo Argentinos are in the household?*

Do you have other breeds? If so, what breeds?*

Please indicate area of interest (select all that apply)*

Have you ever been a breeder, judge, exhibitor of any breed (at any AKC/FCI event) or served a show committee? *

	YES / NO	Years experience
Breeder
Judge
Exhibitor
Show Committee

Are you a member of the Dogo Argentino Club of America (DACA)?*

YesNoPending

We encourage all members to be active within the club, please select any areas you have interest in:

Why do you want to be a member?

Who can we thank for referring you?

Are you willing to donate to the club? If so, how much?

BY CLICKING SUBMIT:

I HAVE READ & UNDERSTAND THE MEMBERSHIP ELIGIBILITY REQUIREMENTS OF THE DOGO ARGENTINO CLUB OF SOUTH TEXAS.

I AGREE TO THE WAIVER & RISK AGREEEMENT ALONG WITH THE CODE OF ETHICS AND AGREE TO THEM AS CONDITIONS OF MEMBERSHIP.

I UNDERSTAND THAT I WILL NOT HAVE VOTING RIGHTS UNTIL AFTER NINETY (90) DAYS OF MEMBERSHIP.

I CERTIFY THAT THE INFORMATION PROVIDED IS TRUE. I UNDERSTAND THAT IF ANY INFORMATION IS FOUND TO BE FALSE OR INCOMPLETE, MY APPLICATION WILL BE DENIED WITHOUT NOTIFICATION. I UNDERSTAND THAT WHILE DOGO ARGENTINO CLUB OF SOUTH TEXAS MAY CONTACT ME VIA PHONE OR EMAIL, FURTHER CONTACT IS NOT GUARANTEED, NOR IS MEMBERSHIP. WE RESERVE THE RIGHT, IN OUR SOLE DISCRETION, TO REFUSE ANY APPLICANT FOR ANY REASON WHATSOEVER WITHOUT NOTICE.

YES, I HAVE READ THE DISCLAIMER AND AGREE TO THESE TERMS AND CONDITIONS BY SIGNING AND SUBMITTING THIS FORM.

Name*

First NameLast Name

Date*

Date

DOGO ARGENTINO CLUB OF SOUTH TEXAS MEMBERSHIP APPLICATION

Section I: Applicant

Section II: Household

Section III: