New Membership

Clumber Spaniel Club of America, Inc. New Member Application

The Clumber Spaniel Club of America, Inc. is a sanctioned and recognized member club of the American Kennel Club. Established
in 1972, the CSCA exists for the purpose of promoting the interests of the Clumber Spaniel breed through education, cooperation, and training.

Membership benefits include:

• Access to the Members Only section of the website
• Subscription to The Clumber Chronicle- published 2 times a year…1 printed National Issue, 1 digital issue
includes news regarding national and local club activities, features of interest to Clumber Spaniel owners, and
much more.
• Membership Directory published online for all CSCA members.
• Awards to members and owners for recognized accomplishments.
• Upon approval, be added to the CSCA Breeder Referral List.
• Act as authors and protectors of the Clumber Spaniel Breed Standard.
• Voting privileges for Regular & Household Membership.
• Access to tracked accomplishments of the Clumber Spaniel
• Current listings of Clumber Spaniel health clearances.
• Access to the CSCA pedigree database

Applicant Information:

All membership type descriptions are located on the website, as well as the last page of your application.

Payment is accepted through the Clumber Closet or by personal check

Please make checks payable to: Clumber Spaniel Club of America, Inc.

Mail checks to :
Trish Gregory, CSCA Membership Secretary
2308 Summerbreeze CT.
Rancho Cordova, CA 95670

Click here to pay now via the Clumber Closet

Residency

US Resident Non US Resident

Membership Type

Regular membership $60.00 ($75.00 For Non US Resident) Household Membership $70.00 ($85.00 For Non US Resident) Associate Membership $10.00 Junior Membership $25.00

Applicant Name

Address

City

State

Zip Code

Phone

Occupation

AKC Registered Kennel Name

Website

2nd Applicant Name (Household Membership)

Phone

Occupation

Do you currently own a Clumber Spaniel?

Yes No

If yes, please provide the name and registration number (optional)

Other club affiliations

What other breeds do you own?

Have you bred any litters in the last three years

Yes No

If yes, Please list breed and dates

Have you ever engaged in or been charged with misleading, maligning or false public statements regarding competitors’ dogs, breeding practices, or another member of the club?

Yes No

Have you ever disregarded health issues in your dog or neglect the care for your dog?

Yes No

Have you ever engaged in wholesaling litters or individual sales or consignments of puppies or adult dogs to pet shops, catalog houses or other commercial establishments?

Yes No

Have you ever donated or given a dog or puppy as a prize in a fund-raising event?

Yes No

Have you ever been refused membership or had your membership revoked or suspended from the AKC?

Yes No

Have you ever been charged for unsportsmanlike behavior at any show or performance event?

Yes No

If you have answered yes to any of the questions above, please provide an explanation, including the name of the applicant if applying for a household membership

Please tell us a little bit about yourself

An applicant must have two sponsors. Sponsors must be members in good standing of the CSCA for at least one year (your application for membership is considered tentative until both sponsors are verified) Sponsor 1 Name

Sponsor 1 email

Sponsor 1 phone

Sponsor 2 Name

Sponsor 2 email

Sponsor 2 Phone

Applicant Name/Initials: My/our printed name and initials below reflect that I/we are hereby applying for the membership type indicated in the application and certify that the information contained herein is true and correct. I/we have read and agree to abide by the CSCA Constitution and By Laws, the CSCA Code of Ethics, and the rules and regulations of the AKC. I/we certify that I am currently in good standing with the AKC (or outside of the US Kennel Club). Applicant Name

Applicant Initials

Date

Applicant 2 Name

Applicant 2 Initials

Date

Privacy Policy Please read the following statement carefully. (Commonly referred to as an “opt-out” statement) The Clumber Spaniel Club of America respects your privacy. All information collected by the club will be kept strictly confidential and will not be disclosed to third parties without your permission. Upon being accepted into membership, I certify that I do not wish to have my personal information shared with any organization other than the CSCA. I understand it will be shared via the club’s newsletter, membership directory and other forms of communication with the CSCA as allowed by the Club’s Constitution and Bylaws and the AKC guidelines.

New Membership

Clumber Spaniel Club of America, Inc. New Member Application

Membership benefits include:

Applicant Information:

Payment is accepted through the Clumber Closet or by personal check

Please make checks payable to: Clumber Spaniel Club of America, Inc.

Mail checks to :
Trish Gregory, CSCA Membership Secretary
2308 Summerbreeze CT.
Rancho Cordova, CA 95670

Click here to pay now via the Clumber Closet

About the Club

quick links

Contact

New Membership

Clumber Spaniel Club of America, Inc. New Member Application

Membership benefits include:

Applicant Information:

Payment is accepted through the Clumber Closet or by personal checkPlease make checks payable to: Clumber Spaniel Club of America, Inc.Mail checks to :Trish Gregory, CSCA Membership Secretary2308 Summerbreeze CT. Rancho Cordova, CA 95670

Click here to pay now via the Clumber Closet

About the Club

quick links

Contact

Payment is accepted through the Clumber Closet or by personal check

Please make checks payable to: Clumber Spaniel Club of America, Inc.

Mail checks to :
Trish Gregory, CSCA Membership Secretary
2308 Summerbreeze CT.
Rancho Cordova, CA 95670