APPLICATION FOR REGISTRATION—The …

1 RN _____ Reg # _____ APPLICATION FOR registration The miniature donkey registry NAME OF ANIMAL: All animals must have a prefix in front of the name, either your own or the breeder s. Use your prefix in the exact same form each time. Do not use quotes in the name. Recommended that all prefixes be 12 characters or less. ENTIRE NAME INCLUDING PREFIX punctuation and spaces MAY NOT exceed 30 (*) total spaces. Too-long or offensive names will be shortened, rejected, or places in the Hold File. __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ (*) In accordance with ADMS rules, name changes must have written permission from the First Person to register the animal (original owner), be under the age of two years (24 months), have no show recorded or recorded offspring. As the first owner of record I DO or DO NOT authorize a name change at a later date.

2 Signature _____ Sex (Circle one only) Jack Jennet Gelding (If selecting gelding, animal must already be castrated.) Color: Summer coat Winter coat Clipped foal coat Tattoos, Brands, Markings: note anything that will aid in identifications. Include numbers or tattoos from other registries. Unless otherwise noted, all donkeys are assumed to have a visible cross and stripe. Note absence of these if applicable. You MUST INCLUDE PHOTOS of animal being registered regardless of age. Include one full-right side and one full-left side view of animal. Animals showing Extreme disproportional characteristics must be reviewed on an individual basis. Elec. Imp # Location: Back base left ear Back Base right ear Left nuchal ligament Other (state) OR Other ID (one form of Perm ID required by Jan 2010) BITE: Even Overbite _____ Underbite _____ No more than 1/4 overbite or underbite is allowed.

3 If male over age 24 months both testicles descended? Yes No (Monorchid /chryptorchid males are not registerable and should be castrated. ) Date of Birth Height if over three years of age: Breed: miniature Mediterranean donkey (Minis without both parents registered will automatically be moved to ADR) Please note other forms are available for other types of longears. Animals without both parents registered as MMDs and/or without Permanent ID will be moved to ADR. Dam : Prefix and full name exactly as they appear on registration papers. (Must be Reg miniature Med) Breed Color Height Reg #(s) (must list for inclusion of foal in MDR after Jan 2009) Breeding Certificate: Required for animal to be included in MDR and for sire to appear on pedigree, regardless of age of animal being registered. I certify that I am the owner of the jack listed at left and I have filed stud reports as necessary.

4 OR: I owned both the jack and jennet at the time of breeding and have filed stud reports and necessary. The watermark picture is the size your animal should be in photos about 2 x 3 . Sire: Prefix and full name exactly as they appear on registration papers. (Must be reg miniature Mediterranean Breed Color Height Reg #(s) (must list for inclusion of foal in MDR after Jan 2009) PRINT NAME AND ADDRESS OF BREEDER (Breeder is the owner of the dam at the time of the breeding to the jack). Breeders are responsible for making sure the jack owner signs the breeding certificate, such as the above box or other form. Place of birth of animal being registered: City State Please circle one ONLY: Mail to Breeder Mail to Owner Other as per note PRINT NAME AND ADDRESS OF OWNER: Signature of Owner or Agent You must be a current member of the Am donkey & Mule Society in order to register an animal.)

5 (If you are receiving your BRAYER magazine your dues should be current). If not, please send your membership fee of $ US ($37 Canada or $50 overseas) for your membership in addition to the animal s registration fee. Send with two (2) photos, one of each side, size noted above. IF THE BREEDER wishes to register an animal directly to the new owner, breeder should list themselves as the breeder and new owner in the owner area. No additional transfer fees or forms required. If the BREEDER wishes to be listed as the first owner and THEN transfer to a new owner, the additional $ transfer fee and form are required. DO THIS if you wish to make sure no future name changes are allowed. If you photocopy this form, be sure to copy the back (rules) as well for new members. Send Form, fees and photos to ADMS, Po Box 1210, Lewisville TX 75067. (972) 219-0781, Form 58A Rev 5-21-13