Cocker Spaniel Club of South Australia Membership Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.APPLICATION FOR NEW/RENEWAL MEMBERSHIP OF THE COCKER SPANIEL CLUB OF SOUTH AUSTRALIA INC. (Financial year: 1 November 2024 - 31 October 2025) Name *FirstLastEmail *AddressAddress Line 1CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPhoneDogs Australia Membership NumberDogs Australia Registered PrefixCode of Ethics A Code of Ethics is only as good as those who abide by it so as a member of the Cocker Spaniel Club of South Australia Inc. I hereby agree that: I will abide by my Club’s constitution and By-laws, and support the Dogs Australia Standard for the Cocker Spaniel. I will comply with all Dogs South Australia Rules and Regulations where they apply. I will at all times whether at home, travelling, at shows, in Social Media, electronic communications or in public places, display good sportsmanship and conduct myself in such a manner to reflect credit upon my Club and the Cocker Spaniel. I will help to educate the public in the Dogs Australia standard of the Breed and in all other areas where I am qualified. I will try and breed in such a manner as to improve the quality of the breed. I will not knowingly use for breeding any dogs and/or bitches with major defects or hereditary diseases. I will not knowingly mate my Cocker Spaniel to any non-Main Registered dog or bitch. I will only sell Cocker Spaniels in good healthy condition, free to the best of my knowledge from heritable disease. I will not knowingly sell any dog or bitch, which has defects of a nature that is detrimental to the Breed. I will supply each purchaser with a Certificate of Registration and Pedigree, Immunisation Certificate, Microchip Certificate and a Diet and Care Information Sheet. I will not sell stock without true representation to the purchaser. All advertising will be honest and not in any way misrepresentative, misleading, or fraudulent. I will continue to offer helpful assistance to the buyer for as long as such aid is required. I will not sell or donate any Cocker Spaniel to commercial dog wholesalers, retail pet dealers, or directly or indirectly allow them to be given as prizes in contest of any kind. To be able to advertise as an Approved Breeder by the Cocker Spaniel Club of South Australia, you must abide by all these conditions. CSCSA Bank Details: Savings Bank of SA BSB: 105 078 A/C: 310449140 Please include “Membership – Your Surname” in the Reference area and include secretarycscsa@gmail.com in Email Notification Code of Ethics Agreement - Select one only *I hereby agree to the conditions above as a Dogs Australia Registered Breeder and request to be added to the Approved Breeder List.I hereby agree to the conditions above as a Breeder but do not fulfill all the requirements to be added to the Approved Breeder List.I hereby agree to the above conditions applicable to a non Breeder (First three Dot Points only)Date *Select Membership Category (Life Members refers to Life Members of the previous CSCSA) *Single Member $20.00Single Member (Pensioner/Senior) $15.00Double/Kennel (residing at same address) $30.00Double/Kennel Pensioner/Senior (residing at same address) $25.00Junior member (under 18 years) $10.00CSCSA Bank Details: Savings Bank of SA BSB: 105 078 A/C: 310449140 Please email proof of payment to secretarycscsa@gmail.comSubmit