Croydon and District Obedience Dog Club


New Member Application Form

Thanks for your interest in joining the Croydon & District Obedience Dog Club (CDODC).

To progress your application you will need to create a profile in our registration system, which you can do below. Just create a username and a password for yourself, fill in the details we require, upload the required documents and we will contact you shortly.

Please be sure to hit the final 'SAVE' button at the bottom of the page when you are done to ensure your application is properly submitted

Already have an account on MyImpactPage.com? Login to auto-populate your details!

Required
Required


Forgot your username or password?

Don't have an account on MyImpactPage.com? Just fill in your details to get started!

Account

Required
Username must not start with space
Username must not end with space
Username must not have two or more spaces in a row

Required
Password needs to have at least 12 characters.
Password needs to have at least one upper case character.
Password needs to have at least one lower case character.
Password needs to have at least one number.
Password cannot be on a list of commonly-used passwords.

Required
Password needs to have at least 12 characters.
Password needs to have at least one upper case character.
Password needs to have at least one lower case character.
Password needs to have at least one number.
Password cannot be on a list of commonly-used passwords.

Name Fields

Required
Required

Address

Required

Required
Required
Required
Required
Required

Phone Numbers

Required Please enter at least one phone number




Misc Fields

mm/dd/yyyyRequired


Please tell us a little about you and your dog(s) - this information is required in order for your application to be verified and approved.

FOR CURRENT CDODC MEMBERS ADDING A NEW DOG

WELCOME TO THE CROYDON & DISTRICT OBEDIENCE DOG CLUB

mm/dd/yyyy

DOG # 1 DETAILS

Required
Required
Required
Required
mm/dd/yyyy
Required
mm/dd/yyyy

DOG # 2 DETAILS (IF APPLICABLE)

mm/dd/yyyy
mm/dd/yyyy

REQUIRED DOCUMENTATION - Must be provided as a part of the application and renewal process

We are unable to accept an application for membership until the following documents have been provided.

There are several ways these can be provided to us:

1. You can scan and upload them to the appropriate field below as a part of this application;

2. Once you have applied, you can log into www.myimpactpage.com with your username and password and go to 'My Profile' > Additional Info, and add a scanned copy there;

3. You can provide these documents directly to the Club.

Please Note - Once scanned and uploaded ID documents have been sighted by a member of our Admin Team, they will be deleted from our system.

Required
Captcha requested, please wait for captcha to load before submitting the form.

It appears that you do not have cookies enabled, cookies are required to use this site. Please see this document for details on how to fix this error.
Some scripts that are essential to this site have not loaded correctly. Please contact your organization administrator for assistance with this error.