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The Welsh Springer
About WSSCA
Finding a WSS
Resources
News & Events
The Versatile Welsh
Store

Home
The Welsh Springer
About WSSCA
Finding a WSS
Resources
News & Events
The Versatile Welsh
Store

Home
The Welsh Springer
About WSSCA
Finding a WSS
Resources
News & Events
The Versatile Welsh
Store

Home
The Welsh Springer
About WSSCA
Finding a WSS
Resources
News & Events
The Versatile Welsh
Store

"*" indicates required fields

Please contact Carla Vooris at mysticacres783@aol.com if you have any questions about the application.

Please Select Type of Membership:*

In accordance with NC Nonprofit law, the WSSCA bylaws stipulate that voting members must be subject to the jurisdiction of the United States in connection with matters related to the Club's bylaws. If you would like to subscribe to the Club's newsletter, The Starter Barks, with outbeing a member please complete the newsletter subscription form.

Applicant’s Name:*

First Last

Applicant's Email*

Residence and Mailing Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone Number:*

List any other personal names you may have been known by in the past 10 years:*

Your Business or Occupation(s):*

Check here if you are a professional dog:

Handler

Groomer

Trainer

Are you an AKC Judge?*

Yes

No

If so, please specify breeds and length of time:

When did you acquire your first Welsh Springer Spaniel?*

How many Welsh Springer Spaniels do you currently own?*

Please list your current dogs’ registered names, genders, and breeder of record:*

Have you or your family owned any other dogs?*

Yes

No

Have you ever exhibited in any dog sports?*

Yes

No

I (or we) have exhibited in:

Conformation:

Obedience:

Field:

Tracking:

Agility:

Other special dog activities:

How Long

Titles Earned

How Long

Titles Earned

How Long

Titles Earned

How Long

Titles Earned

How Long

Titles Earned

Other actvities you enjoy with your dog:

Do you plan to breed Welsh Springer Spaniels?*

Yes

No

Have you ever bred any other breeds?*

Yes

No

List Current Kennel Name or Prefix, and any others used previously

How many litters have you bred or co-bred?

If any, identify breed(s) and year(s) of whelping

If any, list your methods of sale/placement of puppies:

Have you ever sold puppies to a commercial outlet or broker?

Yes

No

Have you ever left a dog or puppies at the pound, shelter, SPCA or equivalent?

Yes

No

Have you or a family member ever been suspended by the AKC?*

Yes

No

If yes, date and reason for suspension:

If yes, date of reinstatement and amount of fine (if any):

Are you currently or were you previously a member of any other dog clubs and animal activist organizations ? If yes, state the name of the club, years of membership, and positions held.*

Have you or your family ever had a dog impounded by an animal control agency?*

Yes

No

Have you or a member of your family ever been charged with animal cruelty, inhumane treatment, or abandonment of an animal?*

Yes

No

Do you know any WSSCA members? If so, list them and how long you have known them:*

Why would you like to become a member of the WSSCA?*

Name of Sponsor for a Voting Membership*

Sponsor's Email

Any other information you would like to share with WSSCA

Signature and Consent Section

Email communication regarding membership and club news*

Email is used for membership information and other important club communication. It is not used for commercial purposes.

I agree to subscribe to the WSSCA email distribution list

Electronic Voting

In accordance with North Carolina law and the WSSCA Bylaws, member voting on certain matters, including the election of officers, and changes to the Bylaws and Breed standard members may be sent secret ballots via electronic voting sytems if the member opts in to electronic voting. Please see details in the Bylaws which are posted on the WSSCA website. The electronic voting election may be revocked at any time.

Opt-in to voting electronically

Opt-out of electronic voting (require the Club to mail appicant paper ballots)

Membership Directory

WSSCA publishes a membership directory for member use only.

Do not publish residential address

Do not publish email addresses

Do not publish telephone number

By signing this Membership Application for the Welsh Springer Spaniel Club of America you acknowledge you have read and agree to abide by WSSCA Code of Ethics.

The WSSCA Code of Ethics can be found on the WSSCA website: www.welshspringerspanielclubofamerica.org/About WSSCA.

Signature*

Your Name
Your Name
Your Name

Date*

After your application has been received we will contact your sponsor to review the application and complete the sponsor endorsement form. When your membership has been approved our Treasurer will contact you about paying Dues. Please contact Carla Vooris at mysticacres783@aol.com if you have any questions about the application.

The Welsh Springer Spaniel Club of America, Inc. is a sanctioned and recognized member club of the AKC.

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