MASTIFFF CLUB OF FLORIDA MEMBERSHIP APPLICATION

PO BOX 220026 Glenwood, FL. 32722

NEW MEMBER ( ) RENEWAL ( ) CHARTER ( ) LIFETIME ( )

PLEASE PRINT CLEARLY

LAST NAME ______FIRST NAME______DOB:______

SPOUSE______OTHER______DOB:______

CHILDREN IN HOUSEHOLD:______DOB:______

PHONE______EMAIL______

OCCUPATION/S: ______

BREED(S) ______

DOGS IN RESIDENCE ______

PLEASE INDICATE YOUR AREA OF INTEREST:

OBEDIENCE ( ) CONFORMATION ( ) THERAPY ( )

OTHER ______

AREAS OF EXPERTISE ______

ARE YOU AN MCOA Member? Yes ( ) No ( ) PENDING ( )

ELEGIBILITY

MEMBERSHIP IS OPEN TO THE MEMBERS OF THE GENERAL PUBLIC WHO ARE INTERESTED IN THE AIMS AND

OBJECTIVES OF THE CLUB.

MEMBERSHIP RESTRICTIONS: A PERSON OR PERSONS INVOLVED IN THE BREEDING AND SELLING OF PUPPIES WHOSE PARENTS HAVE

NOT BEEN HEALTH TESTED FOR HIPS, PATELLA, HEART, AND EYES. A PERSON OR PERSONS INVOLVED WITH HUMANE SOCIETIES OR RESCUE LEGUES SHALL BE

EXCLUDED FROM THIS RESTRICTION. A PERSON OR PERSONS CONVICTED OF CRUELTY TO ANIMALS SHALL BE INELIGIBLE FOR MEMBERSHIP. THE MASTIFF CLUB

OF FLORIDA IS UNDER NO OBLIGATION TO APPROVE ANY APPLICATIONS NOR IS IT OBLIGED TO OFFER ANY EXPLAINATION SHOULD THE APPLICATION NOT BE APPROVED.

AGREEMENT TO HOLD-HARMLESS WAIVER & ASSUMPTION OF RISK

I UNDERSTAND THAT ATTENDENCE OF DOG TRAINING CLASS OR ANY OTHER DOG RELATED ACTIVITY IS

NOT WITHOUT RISK TO ME, MEMBERS OF MY FAMILY, GUESTS WHO MAY ATTEND, OR MY DOG(S). SOME OF

THE DOGS TO WHICH I WILL BE EXPOSED MAY BE DIFFICULT TO CONTROL EVEN WHEN HANDLED WITH

THE GREATEST AMOUNT OF CARE. I WILL NOT HOLD THE MASTIFF CLUB OF FLORIDA, THEIR REPRESENTATIVES

OR AFFILIATES LIABLE FOR ANY LOSS, DAMAGE, OR INJURY TO MYSELF, MY DOG(S), FAMILY OR GUESTS

ACCOMPANYING ME TO ANY TRAINING SESSION OR SPECIAL EVENT WHILE ON THE GROUNDS OR

SURROUNDING AREA AS A RESULT OF ANY ACTION BY ANY PERSON OR DOG INCLUDING MY OWN.

I HAVE READ AND UNDERSTAND THE ELIGIBILTY REQUIREMENTS OF THE

MASTIFF CLUB OF FLORIDA AND AGREE TO THE ABOVE WAIVER & RISK

AGREEMENT. I AGREE TO ABIDE BY THEM AS CONDITIONS OF MEMBERSHIP.

SIGNATURE OF APPLICANT(S)______

DATE ______

DUES: SINGLE MEMBERSHIP $20 ( ) SINGLE JUNIOR $10 ( )

FAMILY MEMBERSHIP $30 ( )

(CHEQUES PAYABLE TO MASTIFF CLUB OF FLORIDA)