Name: 

Street Address: 

City/Town: 

State:    Zip Code:

Phone:   

Email: 

Occupation: 

Other interests or hobbies:

Why do you wish to join the Dogo Canario Club of America, Inc?

How many years have you been in the Dogo Canario?  

Number of Litters?   Number of Dogo Canario? 

Kennel Name (if you have one): 

Do you belong to any breed or all-breed clubs?  If so, give name and positions held, past and present:

Do you currently belong to any other breed club solely for the Dogo Canario or Presa Canario? Choose One Yes No

If yes, please name the club:

Are you over 18 years of age?  Choose One Yes No

In order to be approved as a member you need to be sponsored by two DCCA club members in good standing who are not related to you or to each other.  Please enter the names of your sponsors in the spaces below.  We will contact them on your behalf for the information they need to submit.

Sponsor 1

Name:

Email:  

Phone Number: 

If accepted for membership, I agree to abide by the rules, code of ethics and by-laws of the Dogo Canario Club of America, Inc.

Please type in your name here:

                                                                     This is constitutes your signature