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HIGHLIGHT & PRINT FORMS FOR USE
LITTER REGISTRATION APPLICATION
The Litter Registration Application form must be used when the dam and/or sire of the litter is not already registered with ACR. Copies of the unregistered ACR parents papers must accompany this form. A set of preprinted litter papers will be returned.
This form may also be used if you wish to have a set of preprinted papers from ACR for all puppies in the litter from a given dam and sire that are already registered with ACR.
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 LITTER REGISTRATION APPLICATION
This form may be photocopied.
This form is to be used to register a ACR litter. Both parents must be ACR registered or proper paperwork must also be submitted with litter application to register the dams/sire.
TYPE OR PRINT IN INK USING LEGIBLE LETTERS & NUMBERS: |
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_________________________________ Litter DOB: ______I______I______ # of Living Pups: ________/________
BREED MO DAY YEAR Males Females |
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_______________________________________________________________________________ __________________________
Dam's Registered Name Dam's ACR Registration Number
_______________________________________________________________________________ __________________________
Sire's Registered Name Sire's ACR Registration Number |
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Section A: Owner of Dam (And Owner of Sire, if same)
_____ I certify that I owned both the dam and sire at the time of mating and whelping. I furthermore certify that the mating took place as
stated above and the number of live puppies and the whelp date listed above and all information contained are correct.
_____ I certify that I owned the dam at the time of whelping and that the number of puppies and the whelp date listed above are correct. The
sire's owner at the time of mating is listed in Section B and has completed and signed the Sires Section.
____________________________________________________________________ __________ ______________________
PRINT NAME: (Only one name is allowed and Signature must match name) ACR I.D. # Phone Number:
___________________________________________________________________________________________ ___________
Signature (By signing this I agree to abide by all ACR rules, regulations and code of Ethics) Date |
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Section B: Owner of Sire or Semen if Different from Section A (Owner of Sire or Semen is to complete this section if they are
different from the owner of the dam.) I certify that I was the owner of the sire (or the semen owner) listed above at the time of this mating.
____________________________________________________________ _________ __________________
PRINT NAME: (Only one name is allowed and Signature must match name) ACR I.D. # Phone Number:
____________________________________________________________________________________________ ___________
Signature (By signing this I agree to abide by all ACR rules, regulations and code of Ethics) Date |
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SEND to:
American Canine Registry
P.O. Box 249
Genoa, Arkansas 71840
phone 870-653-2580
E-mail: registrations@americancanineregistry.com
fax: 870-653-2586 |
Litter Registration Fees:
FREE for 2005 |
"ACR" was founded to give dog lovers more information so that they may use it to breed to 'better the breed'. |
__________________________________________________________________________________________________
PUPPY REGISTRATION APPLICATION
The puppy registration application may be used to register an INDIVIDUAL puppy in a litter whose parents are already ACR registered.
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PUPPY REGISTRATION APPLICATION
This form may be photocopied.
This form is to be used to register an ACR recognizable puppy from a litter whose both parents are already ACR registered and whose breeder is already a registered ACR breeder. This application must be filled out by breeder and given to new owner.
TYPE OR PRINT IN INK USING LEGIBLE LETTERS & NUMBERS: |
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___________________________________________ DOB: ______I______I______ Male Female _______________________
BREED MO DAY YEAR Circle One Color/Pattern/Coat
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_______________________________________________________________________________ __________________________
Dam's Registered Name Dam's ACR Registration Number
_______________________________________________________________________________ __________________________
Sire's Registered Name Sire's ACR Registration Number |
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Section A: Owner of Dam (And Owner of Sire, if same)
_____ I certify that I owned both the dam and sire at the time of mating and whelping. I furthermore certify that the mating took place as
stated above and the number of live puppies and the whelp date listed above and all information contained are correct.
_____ I certify that I owned the dam at the time of whelping and that the number of puppies and the whelp date listed above are correct. The
sire's owner at the time of mating is listed in Section B and has completed and signed the Sires Section.
_________________________________________________________________ __________ ______________________
PRINT NAME: (Only one name is allowed and Signature must match name) ACR I.D. # Phone Number:
___________________________________________________________________________________________ ___________
Signature (By signing this I agree to abide by all ACR rules, regulations and code of Ethics) Date |
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Section B: Owner of Sire or Semen if Different from Section A (Owner of Sire or Semen is to complete this section if they are
different from the owner of the dam.) I certify that I was the owner of the sire (or the semen owner) listed above at the time of this mating.
________________________________________________________ ___________ _________________
PRINT NAME: (Only one name is allowed and Signature must match name) ACR I.D. # Phone Number:
____________________________________________________________________________________________ ___________
Signature (By signing this I agree to abide by all ACR rules, regulations and code of Ethics) Date |
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Section C: New Puppy Ownership (The breeder should fill out this section upon transfer of animal.)
___________________________________________________________________ ____________ ____________________
PRINT NAME: (Only one name is allowed and Signature must match name) ACR I.D. # Phone Number:
___________________________________________________________________________________________________________
Address City/State Zip
_____________________________________________________________________________________________ ___________
New Owner Signature (By signing this I agree to abide by all ACR rules, regulations and code of Ethics) Date |
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Puppy Name: The person registering the puppy has the right to name it. 2 name choices must be listed.
1st choice: ________________________________________________________________________________________________
2nd choice: _________________________________________________________________________________________________ |
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Send completed application to:
AMERICAN CANINE REGISTRY
P.O. BOX 249
Genoa, Arkansas 71840
Phone: 870-653-2580 Fax: 870-653-2586
Web site: http://www.americancanineregistry.com |
Puppy Registration Fee:
$15.00
Fees must be in US Currency, money order, check or an account
may be set up for Credit Cards by calling ACR.
Pay by Credit Card __________ |
"ACR" was founded to give dog lovers more information so that they may use it to breed to 'better the breed'. | | 
