American Staffordshire Terrier Club of Canada (ASTCC)
Club du staffordshire Terrier Américain du Canada

Application for Membership to the American Staffordshire Terrier Club of Canada

Please print out this form and mail in with fees to The American Staffordshire Terrier Club of Canada at the address at the address at bottom of this membership application. The American Staffordshire Terrier Club (ASTCC) is a member of the Canadian Kennel Club (CKC) and is the authorized parent Club for the American Staffordshire Terrier breed in Canada. The object of this Club shall be the breeding of purebred CKC registered American Staffordshire Terriers, to develop and bring to perfection their naturally high qualities, to support CKC dog shows, to emphasize the value of pure breeding to encourage registration of CKC eligible dogs, to foster and maintain among ourselves a warm friendship and the highest standards of sportsmanship. No person who pits dogs against one another or breeds or trains dogs for fighting purposes can become or remain a member of the ASTCC. Please answer the questions below. Money will be refunded if membership is denied.

As of this date do you own any CKC registered American Staffordshire Terriers?
  YES _____  NO _____
(please list CKC registered names and numbers -- Please attach additional sheet to list all names and numbers if necessary)
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
 
Do you exhibit at CKC shows?
  Conformation: YES _____  NO _____
  Obedience: YES _____  NO _____

Are you a member of any other Breed Club,  All Breed Club, or any other organization related to purebred dogs?
  YES _____  NO _____
(Please list other affiliations/memberships - attach separate sheet if necessary)
________________________________________________________________________________
________________________________________________________________________________

Interest in the breed:
  Conformation _____  Obedience _____ Pet/Companion _____
  Other _______________________________________________________

Have you read and agree to abide by our Code of Ethics?
  YES _____  NO_____

I hereby make the application for membership in the ASCCC representing that I am not less than 16 years of age and that I am in good standing with the Canadian Kennel Club. I will work for the improvement of the CKC registered American Staffordshire Terrier. I will abide by the constitution and bylaws of the ASTCC and have read and subscribe to the code of ethics attached to this application form. I understand that membership fees are due April 1st of each year and I must keep my dues up to date to continue my benefits in the club.

Your name (please print): ______________________________________________________

Signature of applicant: _________________________________________________________

Address: _____________________________________________________________________

            _____________________________________________________________________

Membership Applied for:
  Individual/Family     _____   ($15.00 per year)
  Breeder     _____   ($20.00 per year)
  or Foreign Membership  _____   ($20.00 per year)
  Foreign Breeder     _____   ($25.00 per year)

Kennel Name (if applicable): _____________________________________________________

Email Address: _________________________________________________________

Website Address: _______________________________________________________
 

Send Application With Fees to:
   Cathy Prothro
    351 Pleasant St.
    Dartmouth, N.S.   B2Y 3S4

   Telephone (902) 463-5845
   Email: barberycoast@hfx.eastlink.ca