ACCC Breeder Listing Application

Please Use the Form Below for the Junior’s Membership Application.

Between 9 and 17 years of age
Not entitled to vote
May not hold office
Not counted towards a quorum
May apply to convert to the appropriate membership upon reaching his/her 18th birthday
Eligible for committees involving Juniors
No dues

Membership Application - Juniors

Junior Applicant Name(Required)

First Last

Address(Required)

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

Phone

Email: Parent/Guardian(Required)

Junior Birthday(Required)

TELL US ABOUT YOURSELF

Please indicate your interests/activities that you've Participated in:(Required)

Conformation

Agility

Obedience

Pet

Dock Diving

Other (Please explain)

If Other was selected, please explain:

Please indicate your interests/activities that you're Interested in:(Required)

Conformation

Agility

Obedience

Pet

Dock Diving

Other (Please explain)

If Other was selected, please explain:

How long have you owned a Chinese Crested?(Required)

Have you or your family ever bred a Chinese Crested litter?(Required)

YES

CLUB INVOLVEMENT

Please list any other dog clubs to which you belong:

Have you ever been suspended from the AKC or any other Dog Club?(Required)

YES

If yes, please explain.

How did you hear about the American Chinese Crested Club?(Required)

Former Junior member

Parent is a member

Chinese Crested Breeder

ACCC Website

Facebook

ACCC Club event

AKC event

AKC Website

CONSENT

Code of Conduct

Each member of the American Chinese Crested Club, Inc. will consider the best interest of the breed when engaged in any activities involving breeding, selling and exhibiting Chinese Cresteds and will refrain from any activities which could prove detrimental to the Breed and this Club.

I/We agree with the terms of the Code of Conduct

Electronic Communications(Required)

To facilitate timely communications to the ACCC Membership and in compliance with the AKC requirement regarding electronic communication, the ACCC Board needs to have EACH Applicant’s written consent. Those who choose to not receive Email, or other Electronic Communication updates from the ACCC will receive Bylaw required notices sent by USPS mail. The use of Electronic Communication is an effort to not only keep costs down but to notify our members quickly and efficiently, and to be good stewards of the environment.

I/We agree to receive Electronic Communications from the ACCC.

Membership Application(Required)

I, THE UNDERSIGNED, hereby apply for membership in the American Chinese Crested Club, Inc., and hereby agree to abide by the Constitution and By-Laws of the American Chinese Crested Club, Inc. and by the rules and regulations of the Club and the American Kennel Club. I have read and truthfully answered all questions on this application. I have read and agree to abide by the American Chinese Crested Club, Inc. Code of Ethics. I further understand that if I breach the Constitution and By-Laws and/ or the Code of Ethics such breach would be probable cause for dismissal from the Club.
Should my application be denied, the Club is not obligated to make the reason known.

I/We agree with the terms of applying

ACCC Junior Membership Waiver(Required)

By signing this waiver, you, the undersigned parent or legal guardian, acknowledge and agree to the following terms regarding your minor child’s participation in activities and events organized by the American Chinese Crested Club (ACCC):

1. Parental Consent: I, the undersigned, give my consent for my child to participate in all events, activities, and functions associated with the American Chinese Crested Club (ACCC).
2. Responsibility for Supervision: I understand that I am solely responsible for ensuring my child is always supervised during ACCC events. I agree to make the necessary arrangements for my child’s supervision while they are participating in any ACCC activities.
3. Compliance with Rules and Regulations: I acknowledge that it is my responsibility to ensure my child understands and follows all ACCC rules, regulations, and guidelines set forth for participation in events. I further agree to assist the ACCC in maintaining a safe, positive, and rule-compliant environment by ensuring my child’s proper behavior and conduct.
4. Waiver of Liability: I understand and agree that the American Chinese Crested Club, its officers, members, and event organizers are not responsible for any accidents, injuries, or incidents that may occur during participation in any ACCC event. By signing this waiver, I release the ACCC from any liability, claims, or damages arising from my child’s participation. By signing below, I acknowledge that I have read, understand, and agree to the terms and conditions outlined in this waiver.

I/We agree with the terms of applying

Applicant: By typing your name acts as your signature(Required)

Date

MM slash DD slash YYYY

Parent: By typing your name acts as your signature for Junior Waiver(Required)

Emergency Contact Name(Required)

Phone(Required)

SPONSORS

SPONSORSHIP REQUIREMENTS: *Two ACCC Club Members (In good standing for no less than one year) are required to be your sponsors in order for your application to be considered. *Application must be submitted within 60 days of Sponsors dated signatures. *Sponsors may sponsor no more than six-member applicants in one fiscal year. *Your name, included with your sponsor’s names, will be read at a board meeting and published to the ACCC membership as an applicant. The ACCC Membership has at least fifteen days from publication to forward in writing, to the ACCC Membership Chair, any viable basis for the ACCC Board to not accept your application. Once your name has been published for at least 15 days and the ACCC receives no input from the ACCC Membership your name will be submitted to the ACCC Board for your ACCC Membership approval at the next meeting. *The ACCC is not duty-bound to offer you a reason for unapproved applications and it is understood by your submission and signature on this application.

Please Provide Your Sponsor's Name and Email address. NOTE: Once you submit your application, you will receive a SPONSOR LINK that you MUST forward to your sponsors for them to complete to finalize your application. Your application WILL NOT be complete until your sponsors submit their portion.

SPONSOR #1(Required)

First Last

Sponsor #1 Email

SPONSOR #2(Required)

First Last

Sponsor #2 Email

PAYMENT

If, for any reason, your Membership Application is denied, your money will be refunded to you by the ACCC Treasurer.

Membership Levels(Required)

Total