ECSCA New Club Membership Request

If you would like to join the English Cocker Spaniel Club of America, please click on the link below to read through the Clubs Constitution & By-Laws.

>>ECSCA Constitution & By-Laws<<

And then fill out the ECSCA Member Registration Form below.

Once the form has been submitted and reviewed by the membership committee, you will receive an email with next steps.

ECSCA New Member Registration Form

Membership Type *

Regular Member
Junior Member
Associate Member

Date *

Prefix. *

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Business/Profession/Occupation *

Have you held positions in either a volunteer organization or other dog clubs (check all that apply) *

Board Role
Education Committee
Show Chair
Fundraising
Health Committee
Trophy Chair
None
Other

If Other, please describe *

How many years in English Cocker Spaniels *

How many years have you owned a purebred dog? *

Number of English Cockers in current household? *

Events exhibited in (check all that apply) *

Conformation
Therapy
Field Trials
Hunt Test
Tracking
Rally
Obedience
Barn Hunt
Agility
Scent Work
None – Just House Pet
Other

Other Events: *

Please list ECSCA members you know. *

Please list ECSCA members, and the length of time you have known them (other than your proposer and sponsor).

Sponsors

Your ECSCA Sponsors: (One proposer and two seconders are required) Please list contact information below for your endorsers. They cannot be related to you, or from the same household as you, or related to each other, or from the same household. Sponsorship will be verified, and primary sponsor will be asked for a statement of support for your application to the club.

Primary Sponsor: *

First

Last

Primary Sponsor eMail. *

2nd Sponsor: *

First

Last

2nd Sponsor eMail. *

3rd Sponsor: *

First

Last

3rd Sponsor eMail. *

I verify that I have read the: *

The Constitution and By-Laws of the ECSCA!
The “Statement of Conduct of the ECSCA!

****By submitting this document, i verify I have read and agree to abide by the above***

Communication Preferences for Newsletters & ECSCA Information *

Electronic Delivery
USPS
Do Not Send

If my application is accepted to the ECSCA, I would like the communication delivery options above to be used: NEWSLETTERS & ECSCA Information

NATIONAL SPECIALTY Premium Lists *

Electronic Delivery
USPS
Do Not Send