DPCA Junior Membership Application with Sponsors

DPCA Junior Membership Application
Thank you for your interest in joining the Doberman Pinscher Club of America.

Before you continue, please be sure you and your sponsors meet the application requirements:
1. You are between the ages of 10 and 18
2. You are in good standing with the American Kennel Club
3. You have a valid email address and are willing to provide it to the DPCA
4. Both sponsors are a DPCA active member in good standing for at least the previous five (5) consecutive years
5. Neither sponsor may be member of your household
6. Neither sponsor is a member of the same household
7. Both sponsors know you and are in agreement to sponsor you
8. Both sponsors must complete and sign their individual Sponsor Form within 30 days for the application to be complete
9. You have the correct email address for each sponsor
Do you and your sponsors meet ALL the above requirements?*

YesNo
At this time you do not meet the requirements to apply.

Please close this window and come back when all requirements are met.
Are you 18 years of age or older?*

YesNo
Provide Date of Birth*

MonthDayYear
Date
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone*

Area CodePhone Number
Parent/Guardian Signature*

Clear
Age
You do not qualify to apply on this form.

Please click here and use this DPCA Membership Application.
Are you in good standing with the American Kennel Club?*

YesNo
At this time you do not qualify to apply for membership. Once you are in good standing with the AKC, you may come back and apply.
Welcome!

We are excited to have you apply for DPCA membership as a Junior member. Junior membership is open to all persons not less than ten years of age nor older than eighteen years of age who otherwise meet the requirements for Active Membership. Junior Members shall pay dues, but may not vote, hold any elected office or be a member of the Board of Directors. Once you turn 18, you will no longer be eligible for Junior membership. At that time, you will need to fill out a application for Active Membership.

Your application will not be sent to the Membership Secretary until you and both of your sponsors complete the application. It is your responsibility to ensure your sponsors complete their portion within 30 days.

Be sure to contact your sponsors for permission and let them know an invitation to complete the Sponsor Form will be sent to their email.

To ensure important emails are properly delivered and not sent to spam, we recommend you add DPCAMembershipSecretary@dpca.org email to your email’s safe sender list.

Annual Dues of $20.00 US funds payable at the time of application for membership.
Your Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Phone Number*

Area CodePhone Number
Your Email*

Confirmation Email
Please select which type of membership you are applying for*

AssociateActive
ENDORSEMENT

You must provide the email address of two (2) sponsors who are DPCA active members in good standing for at least the previous five (5) consecutive years and not members of the same household or your household. In addition, your sponsors can only sponsor two (2) applicants per calendar year.

In lowercase, please enter your sponsor emails below and click 'verify' for each one, one at a time. If the email matches what we have on file for the member, their information will auto-populate. Please check your entry for typos if it doesn't produce a match. You will need to enter a correct email in order to continue.

Be sure to contact your sponsors for permission and let them know a request to complete a Sponsor Form will be coming in their email.

To ensure important emails are properly delivered and not sent to spam, we recommend you ask your sponsors to add DPCAMembershipSecretary@dpca.org to their email’s safe sender list.
Enter the email of Sponsor #1 in lowercase and click the button 'Click to verify sponsor #1 email'*
Sponsor #1 Name*
Enter the email of Sponsor #2 in lowercase and click the button 'Click to verify sponsor #2 email'*
Sponsor #2 Name*
{name_sponsor1} has not been a member for at least the previous five (5) consecutive years, therefore they are ineligible to be one of your sponsors. You will need to choose a different sponsor.
{name_sponsor2} has not been a member for at least the previous five (5) consecutive years, therefore they are ineligible to be one of your sponsors. You will need to choose a different sponsor.
MemberSince_1
MemberSinceDate_1

MonthDayYear
Date
YrsMember_1
MemberSince_2
MemberSinceDate_2

MonthDayYear
Date
YrsMember_2
Sponsor #1 Email*
example@example.com
Sponsor #2 Email*
example@example.com
S1
S2
Your sponsors need to have different email addresses.
You need two different sponsors.
How long have you known {name_sponsor1}?

Less than 1 year1 year2-5 years6-10 yearsMore than 10 years
How long have you known {name_sponsor2}?

Less than 1 year1 year2-5 years6-10 yearsMore than 10 years
Membership comes with the expectation of volunteerism. Please indicate which DPCA committees are of interest to you and be prepared to be contacted in the future by the committee chair.

Achievement Recognition CommitteeApex/Legacy Award CommitteeDobequest DatabaseFinance CommitteeGeneration Forward CommitteeJudges Education CommitteeJunior Showmanship CommitteeLegislative Affairs CommitteeLifetime Achievement CommitteeMedical Research Evaluation CommitteeNational Convention CommitteeOFA LiaisonPublic Education CommitteeRescue CommitteeSocial Media CommitteeSunshineVersatility Award CommitteeWebmasterWorking DogOther
I represent that my answers to any and all questions are truthful and complete. I represent that all information on this application is correct.
Applicant Signature

Clear
MTFromApp
DUES PAYMENT

Please pay your Membership Dues using PayPal or a Credit Card. Once your dues have been paid, your sponsors will receive an email requesting them to fill out their sponsor portion. It is your responsibility to ensure that your sponsors fill out their portions within 30 days. Should they not complete within 30 days, your payment will be refunded and you will need to reapply.
Membership Type*

Junior - $20
Total

Date*

MonthDayYear
Date
s1DateReminder

MonthDayYear
Date
DPCA Sponsor Questionnaire
Sponsor Filled
Thank you for supporting our Juniors with your sponsorship of junior applicant {name_applicant}.
Your Full Name:*
Applicant's Name

First NameLast Name
I have personal knowledge of {name_applicant}, including their interests in the breed, sportsmanship, and ethical conduct.*

YesNo
The role of a sponsor is extremely important. It is your recommendation upon which the DPCA Board and current members rely when welcoming new participants into the club.

Currently you do not qualify to sponsor {name_applicant}. Please click "submit my sponsor form" below and an email will be sent to the applicant informing them that they will be required to have another sponsor.
How long have you known {name_applicant}?

Less than 1 year1 year2-5 years6-10 yearsMore than 10 years
How did you become acquainted with {name_applicant:first}? Please be specific and provide as much detail as possible.*
Please describe what you have personally observed of the care, maintenance and overall condition of {name_applicant:first}'s dog(s). Please be specific and provide as much detail as possible.*
Please provide any other information which you feel would be useful to know about {name_applicant:first}. Please be specific and provide as much detail as possible.*
Signature*

Clear
Date

MonthDayYear
Date
Your Full Name:*
Applicant's Name

First NameLast Name
I have personal knowledge of {name_applicant}, including their interests in the breed, sportsmanship, and ethical conduct.*

YesNo
The role of a sponsor is extremely important. It is your recommendation upon which the DPCA Board and current members rely when welcoming new participants into the club.

Currently you do not qualify to sponsor {name_applicant}. An email will be sent to the applicant informing them that they will be required to have another sponsor.
How long have you known {name_applicant}?

Less than 1 year1 year2-5 years6-10 yearsMore than 10 years
How did you become acquainted with {name_applicant:first}? Please be specific and provide as much detail as possible.*
Please describe what you have personally observed of the care, maintenance and overall condition of {name_applicant:first}'s dog(s). Please be specific and provide as much detail as possible.*
Please provide any other information which you feel would be useful to know about {name_applicant:first}. Please be specific and provide as much detail as possible.*
Signature*

Clear
Date

MonthDayYear
Date
Should be Empty:

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

DPCA Junior Membership Application

ENDORSEMENT

DPCA Sponsor Questionnaire