ESRA Membership Form

Note: Before completing this form, print out and sign the ESRA Code of Ethics. (Click here). Each new member must have a signed copy on file with ESRA to maintain a valid membership. Mail it to the address indicated on the form. Then, come back here and fill out this application. Both of these forms must be completed for membership in ESRA.
 

It is for the love and passion I hold for the English Springer Spaniel that I hereby pledge to:

  • Avail my support and assistance to English Springer Rescue America, Inc. (ESRA) whenever and wherever possible.
  • Help unwanted, abandoned and abused dogs for whom I know I can make a difference.
  • Kindly provide a safe and loving environment to those dogs temporarily in my care.
  • Assist fellow ESRA members in their rescue efforts where I know I can be of help.
  • Conduct my personal rescue efforts ethically and responsibly.
  • Endeavor in my words and actions to be honorable and dependable in promoting the English Springer Spaniel breed.
Full name
Email address
Phone number
Address
City State Zip Code
Country        
 

Geographical area I can rescue in:

I can Volunteer to: (also, please submit a Volunteer Questionnaire)
Foster (please submit a Foster Home Form)
Transport
Computer Work
Conduct Home Checks
Temperament Evaluations
Help with the website. Please note your software & experience:
Other. Please explain:
       

I would like to subscribe to:  
ESRA's Members Only Mailing List  

Additional Comments
 
 
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