2025 CCAA Membership Renewal Form

2025 CCAA Membership Renewal Form
Are you a Current Member of the CCAA for the 2024 Year?

YesNo
Primary Member Information
Member's Name*

First NameLast Name
Other Names Previously Applied Under
Member's Phone Number*
(000) 000-0000
Member's E-mail*
example@example.com
Family/Household Member Information
Family/Household Member's Name

First NameLast Name
Other Names Previously Applied Under
Family/Household Member's Phone Number
(000) 000-0000
Family/Household Member's E-mail
example@example.com
*If the Family/Household Member would like to vote, a different e-mail address from the primary member 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*

Mail (Postal)Email
Do you understand that all voting will be done electronically?*

YesNo
Questionnaire
Have you been a member of the CCAA previously and the membership LAPSED?*

YesNo
If YES, What was your last active year?
Select ALL that apply. Are you a(n):*

Owner (Currently own at least one purebred Cane Corso registered with AKC)Breeder (Bred at least one litter in the past 3 years and registered the litter with AKC)Judge (AKC approved judge, please list what you are approved to judge in the field below)Exhibitor (Exhibited at an AKC event within the past 2 years)Prospective Owner
Judges: What AKC events are you approved to judge?
If yes, please check all that apply*

ConformationBarn HuntDisc DogFlyballFrench RingMondioringSDARallyTrackingSearch and RescueAgilityCoursing and CAT/Fast-CATDock DivingObedienceIGPPSAAPPDAScent WorkTrick DogWeight PullingUndecidedNot ApplicableOther
Exhibitor: Do you plan to, or do you, participate with your dog(s) in AKC, UKC, or other events?*

YesNoUnsure
Are you interested in helping the club by volunteering on a committee?*

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

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

YesNo
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
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.
I agree to abide by the CCAA Bylaws and Code of Ethics.*

YesNo
If you are applying with a Family/Household Member, please select the appropriate product.
Products
Please Select Applicable Membership and Offerings*
Categories:All

All

Membership (Must Select One)

Membership Add Ons (Optional)
prevnext( X )
Membership (Must Select One)

Regular Member (1 Vote)
$46.70



Household Member (2 Votes)
$72.45



International Member (Non Voting)
$57.60



Membership Add Ons (Optional)

Regular Membership Upgrade to Household Membership (if regular membership had been renewed previously)
$26.25



Second International Member
$57.60



CCAA Breeder Advertisement (1 Year Listing)
$100.00



Donation - General Funds (May also be Used as Additional Rescue Funds)
$20.00 Quantity



Donation - Education
$20.00 Quantity



Donation - Events
$20.00 Quantity



Total

$0.00
When you click "renew membership" button, you will be redirected to Paypal. IF you are not redirected, please check to be sure your popup browser is turned off and your JavaFlash is up-to-date. If you still are not able to be redirected please email 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 Member'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 e-mail.

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)*
Signature date*
Please verify you are human.*
IF YOU ARE SEEING THIS TEXT, YOU DID NOT AGREE TO THE CCAA'S CODE OF ETHICS
IF YOU ARE SEEING THIS TEXT, BOTH APPLICANTS SHARE THE SAME E-MAIL. PLEASE CHANGE, THANK YOU.
IF YOU ARE SEEING THIS TEXT, YOU ANSWERED "NO" AND YOUR MEMBERSHIP HAS LAPSED. PLEASE APPLY AS A NEW MEMBER BY CLICKING HERE.
Should be Empty:

2025 CCAA Membership Renewal Form

Questionnaire

Information Sharing Opt-Out Option

Code of Ethics

Products