Lagotto Club of America

representing the Lagotto Romagnolo

Member Login

Join Our Club

Fill out this membership application form and become a member of the Lagotto Club of America.

Lagotto Romagnolo Rescue Application

Interested in adopting a rescued Lagotto Romagnolo? Fill out this rescue application form for consideration.

Lagotto Club of America Membership Application

*Please note: You must pay the membership dues in order for your membership form to be considered.

Applicant's Name

*Please note that by typing your signature above you are giving your legal electronic signature and in doing so you are stating that the information contained in this application is true and correct to the best of your knowledge and that you agree to support the Constitution, Bylaws, Mission Statement and Code of Ethics of the Lagotto Club of America.

Address

City

State

Zip Code

Country of Residence

Day Phone

Mobile/Evening Phone

Email Address

Occupation

Are you 18 years or older?

Yes
No

Please write a paragraph about yourself and your interest in the Lagotto Club of America:

How did you learn about the Lagotto Romagnolo?

Do you know of a member of the Lagotto Club of America? If so, who?

Kennel Name (if any):

Breeds Owned:

Number of years in each breed:

How many dogs do you own? (Please be specific of number in each breed, gender, and if they are intact, spayed, or neutered)

Litters bred?

How many years have you been breeding?

List how many dogs (if any) have been shown, championships, and by what affiliation

Tell us about what dog activities you have been involved in, and years in each activity:

Are you now, or have you ever been a Member of any other Dog Clubs? If YES, please list:

Have you held any office or appointed position in any of these? If YES, please list:

Have you ever been suspended by the AKC or any other dog club, cited by the ASPCA, any humane society or animal control organization?

Yes
No

Have you at any time been associated with, or sold dogs to, a wholesale or retail canine operation?

Yes
No

Please explain any Yes Answers to the Above Questions:

If other, please specify

Will you pay for your membership with Paypal (secure online payment) or mail a check?

Paypal
Check

Please enter the letters in the box (for anti-spam purposes).

*Please note that memberships are for the calendar year. If you join after October 1st you will receive the remainder of the calendar year and the next year included in your membership.

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