Application to Register a Litter Resulting from Artificial ...

ALAIFZ (4/15) Stat 2015 The American Kennel ClubUse this Application to Register a Litter of puppies, Resulting from Artificial insemination, that was inseminated and whelped in the USA from an AKC -registered female and the frozen semen of an AKC-registered male or an approved Application to Register a Litter Resulting from Artificial Insemination Using Frozen SemenBC1 ACforeign male of the same breed. Important information and instructions are on page 3 of this form. Please use black ink and capital letters to fill in the boxes. registration is not guaranteed. Processing fees are nonrefundable and all fees are subject to change without notice. Month Date of Birth:__Breed:YearDayLitter InformationSemen Owner s/Co-Owner s SignatureAKC Number of Sire (Male)Registered Name of Sire (Male)Sire (Male) Information: To Be Completed and Signed by an Owner/Co-Owner of Semen on Date of InseminationI authorized shipment by of frozen semen collected from this stud to Name of Storage FacilityName and Address of Veterinarianfor the purpose of inseminating the bitchAKC Registered Number and Name of the Dam__Semen Owner s First NameSemen Owner s Last NameTelephone NumberEmail AddressI (we) AgRee ThAT Any CAUSe oF ACTIon, ConTRoveRSy oR CLAIm ARISIng oUT oF oR ReLATeD To ThIS registration oR AS To The ConSTRUCTIon, InTeRPReTATIon AnD eFF

AKC DNA profiling prior to the registration of their first AKC-registered litter. Additional Requirements note: These forms are available on our Web site: www.akc.org All dogs from this litter will be eligible for Online Registration unless the designated box is checked. Please note

Tags:

  Registration, Online, Litter, Online registration

Information

Related search queries