2024 Cane Corso Association of America New Member Form

New Member Application
Date

MonthDayYear
Date
Primary Member Information
Applicant's Name*

First NameLast Name
Applicant's Occupation
Other Names Previously Applied Under or Known By
Applicant's E-mail*
Applicant's Phone Number*

Area CodePhone Number
Family/Household Member Information

Leave blank if you are not applying for a Family/Household Membership
Second Applicant's Name

First NameLast Name
Second Applicant's Occupation, if applicable
Other Names Previously Applied Under or Known By
Second Applicant's Email, if applicable
example@example.com
Second Applicant's Phone Number, if applicable

Area CodePhone Number
Is the Second Applicant over the age of 18?*

YesNo
* If the Second Applicant would like to vote, a different e-mail address from the applicant must be provided, or you will not be able to submit this application.
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Preferred method of contact:*

Us Mail (Postal)Email
Do you understand that any voting will be done by electronic means?*

YesNo
Questionnaire
Are you 18 years of age or older?*

YesNo
Are you in good standing with the AKC (American Kennel Club)?*

YesNo
Do you have any local club affiliations?*

YesNo
Have you ever been a member of any other dog club, either local or national?*

YesNo
Have you been a member of the CCAA previously? *

YesNo
Are you currently a member of any other dog club, either local or national?*

YesNo
Why do you want to be a member of the CCAA?*
REQUIRED (1 of 2) CCAA member who endorses your application, is in good standing, and a current member for at least 6 months*
Per the bylaws approved in 2023
REQUIRED (2 of 2) CCAA member who endorses your application, is in good standing, and a current member for at least 6 months*
Per the bylaws approved in 2023
Do you currently own a Cane Corso?*

Yes, just one.Yes, more than one.No
Do you plan to participate with your dog(s) in AKC, UKC or other events?*

YesNoUnsure
If yes, please check ALL that apply*

ConformationFrench RingTrackingDock DivingAPPDABarn HuntMondioringSearch and RescueObedienceScent WorkDisc DogSDAAgilityIGPTrick DogFlyballRallyCoursing and CAT/Fast-CATPSAWeight PullingUndecidedNot ApplicableOther
Are you new to conformation, performance, or working a Cane Corso?*

YesNo
Would you like to be paired with a mentor?*

YesNo
Tell us about your experience and/or knowledge that you would be willing to contribute to the betterment of the breed/club.
Are you interested in helping the club by volunteering on a committee?*

YesNoUnsure
Which committee? (Please provide a few choices)
If you feel there is a need for a committee type, please provide it here:
Are you interested in short-term participation with local club events?*

YesNoUnsure
Information Sharing Opt-Out Option
By checking this box YES, I (and my household member, if applicable) hereby request to opt out of sharing and usage of my personal information by the Cane Corso Association of America (CCAA) with third parties. Express written consent between the CCAA and approval by Member and/or Applicant is required to share information with third parties. Information is to remain privileged between the CCAA and the Member and/or Applicant.*

Yes, I am opting outNo, I am not opting out
Code of Ethics

YOU MUST READ AND AGREE TO THE CCAA CODE OF ETHICS
Code of Ethics

Section 1: The following Code of Ethics is attached to and made a part of the CCAA By-Laws.

Section 2: I, as a member of the CCAA, agree to abide by the rules set forth before me on this Code of Ethics and the previously mentioned By-Laws. First and foremost are the welfare of the Cane Corso and the integrity of the Club and its members. I realize that any violation of the Code of Ethics or the By-Laws is grounds for expulsion or suspension from the privileges of the Club.

(a) I will strive to keep the Cane Corso purebred and will not knowingly breed the Cane Corso to any other breed of dog.

(b) I will not knowingly falsify any papers or documents, such as health records and registration papers, vital to the regulations records, show records, or other aspects of the Club.

(c) I will recognize and accept the CCAA as the official breed club of the Cane Corso in the U.S. If breeding a litter, I agree to provide proper AKC or AKC recognized registry paperwork in a timely manner, but no longer than 6 months, unless so stated in the purchase contract, and to mark each pet quality pup as limited registration on the puppy registration form.

(d) I will never breed a bitch that is under 18 months of age, or an immature dog that is under 12 months of age.

(e) I will provide adequate food and shelter, proper health care, and companionship for all of my dogs.

(f) REMOVED

(g) I will not sell dogs or puppies to pet shops or dog brokers.

(h) I will not misrepresent my dogs to anyone.

(i) I will always breed as close to the AKC Standard as possible. I will not breed dogs which have severe faults which would be detrimental to the health and welfare of the breed, including temperament flaws.

(j) I will conduct myself in a sportsmanship manner at all dog shows and functions; and will act as a true representative for the breed and the Club.

(k) I will not be involved in or use my dogs for any illegal activity.

(l) I will not make false accusations or try to discredit other breeders, exhibitors or CCAA members.

I represent that my answers to any and all questions are truthful and complete. I represent that all information on this application is correct. Should this not be the case my application will be denied or if discovered later will be grounds for revocation of membership without appeal. Signature indicates applicant has read and subscribes to the CCAA Code of Ethics.
Do you agree to abide by the CCAA Bylaws and Code of Ethics?*

YesNo
Products
If you are applying with a Family/Household Member, please select the appropriate product or the Second Applicant will not be presented to the Board of Directors.
Please Select Applicable Membership and Offerings*
prevnext( X )
Regular Membership (2024 + 2025) 1 Vote$70.05
Bylaws Article 1 Section 2 - "New Members that join after June 30th will pay 1/2 price for the current year and full price for the upcoming year."

Family Membership (2024 + 2025) 2 Votes$108.68
Bylaws Article 1 Section 2 - "New Members that join after June 30th will pay 1/2 price for the current year and full price for the upcoming year."

International Membership (2024 + 2025)$85.80
Bylaws Article 1 Section 2 - "New Members that join after June 30th will pay 1/2 price for the current year and full price for the upcoming year."

CCAA Breeder Advertisement (1 YEAR LISTING)$103.50

Donation - General Funds (May also be used as Additional Rescue Funds)$15.00

Quantity

Donation - Events$15.00

Quantity

Donation - Education$15.00

Quantity

Total $0.00
TO RECEIVE A SCOREBOOK YOU MUST ALSO FILL OUT A SCOREBOOK APPLICATION FOUND HERE
When you click the "apply for membership" button, you will be redirected to Paypal. IF you are not redirected, please check to be sure that your popup browser is turned off and your JavaFlash is up-to-date.

If you still are not able to be redirected, please contact the CCAA at CaneCorsoAssociationOfAmerica@gmail.com.

To pay by check, please fill out this form, print, and mail appropriate payment to:

Cane Corso Association of America

ATTN: Marie Roderiques

5800 Sabal Palm Lane

Punta Gorda, Florida 33982

The Primary Applicant's e-mail address will be used to send you a confirmation of receipt for this application. Please make sure noreply@jotform.com is not marked as spam in your email.

If you do not receive a confirmation e-mail within 24 hours, check your trash/junk/SPAM folders and find an e-mail from noreply@jotform.com and mark it as "Not Spam". From then on, e-mails from that specific address should no longer be filtered as spam.
Signature(s)*
Date Signed*
Please verify you are human.*
YOU ANSWERED "NO" TO THE CODE OF ETHICS. PLEASE RECHECK YOUR ANSWER. THANK YOU.
THE EMAIL FOR THE SECOND APPLICANT IS THE SAME AS THE PRIMARY APPLICANT. PLEASE RECHECK THE EMAILS, AND CHANGE ACCORDINGLY.
Should be Empty:

New Member Application

Family/Household Member Information

Questionnaire

Information Sharing Opt-Out Option

Code of Ethics

Products