Fillable Printable AKC Litter Registration Application

AKC Litter Registration Application

ALITTA (10/06)

Litter Registration Application

Use this application to register a litter of puppies bred and whelped in the USA from an AKC

-registered

female and an AKC-registered male of the same breed. 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.

Sire Owner’s or Co-Owner’s Signature

certify

that the identified Dam (Female) was mated to the identified Sire and that the Sire was owned/co-owned by me on the date of mating. Note the DNA requirements in the

Additional Requirements section on page 2. By signing, I agree to the arbitration clause at the bottom of this page.

AKC Number of Sire (Male) Registered Name of Sire (Male)

Owner’s First Name Owner’s Last Name

Telephone Number Email Address

_ _

Sire (Male) Information: To Be Completed and Signed by Owner/Co-Owner of Sire on Date of Mating

_ _

Litter and Payment Information See page 2 for complete details

Dam (Female) Information: To Be Completed and Signed by All Owners or Lessees of Dam on Date of Birth

I (we)

certify

that I (we) am (are) the owner(s) or lessee(s) of the identified Dam on the date of birth of the litter; that this Dam was not mated to any other dog during her season; that all of the

representations on this application are true; and I (we) agree to comply with AKC rules and regulations. I (we) agree if listing this litter on AKC’s Online Breeder Classifieds to provide the new owner(s) with

the AKC individual registration application. By signing, I (we) agree to the arbitration clause at the bottom of this page.

Note the DNA requirements in the Additional Requirements section on page 2.

2nd Owner’s Signature1st Owner’s Signature

AKC Number of Dam (Female) Registered Name of Dam (Female)

AKC will send the litter kit (one registration application for each puppy) to the address below.

1st Owner’s First Name 1st Owner’s Last Name

Mailing Address

C i t y ZIP code + 4State

Telephone Number Email Address

_ _

2nd Owner’s First Name 2nd Owner’s Last Name

$Total Fee

Month YearDay

Breed:Litter Date of Birth:

Enter $35.00 to request expedited handling. See page 2 for details. Expedited Handling

Late Fee

Enter $65.00 if it has been more than 6 months since the litter was whelped. $

I (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 EFFECT OF

THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL

APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED

POLICIES AND GUIDELINES.

Arbitration Clause

To Be Completed Only If Ownership of Dam Changed or Lease Terminated while Dam Was in Whelp (Pregnant)

Owner’s/Lessee’s Signature

certify

that I was the owner or lessee of the identified Dam on the date the Dam was mated to the identified Sire. I

certify

that the Dam, while in my possession, was not mated to

any other dog during her season. By signing, I agree to the arbitration clause at the bottom of this page.

Owner’s First Name Owner’s Last Name

Processing Fee $ 2 5

Enter $30.00 to list your litter on the AKC Web site. See page 2 for details.

Breeder Classifieds

Puppy Fee

Number to be registered:

x $2.00

Total

Females PuppiesMales

Enter $20.00 for your Official AKC Litter Certificate. See page 2 for details.

Account Number (do not include dashes) Signature of CardholderExpiration Date

Payment Method:

VISA AMEX MasterCard

Discover

Check or money order made payable

to: The American Kennel Club.

Litter Certificate

Add puppy fee:

+ =

Litter registrant will receive multiple e-certificates

totaling $35 from dog.com if a valid email address is

provided below.

Limited time offer

ALITTA_10_06 11/8/06, 2:09 PM1

General Information and Instructions

Fresh Semen: Submit an Application to Register a Litter Resulting from Artificial Insemination Using Fresh Semen.

Fresh Extended Semen: Submit an Application to Register a Litter Resulting from Artificial Insemination Using Fresh Extended

Semen.

Frozen Semen: Submit an Application to Register a Litter Resulting from Artificial Insemination Using Frozen Semen.

Artificial

Insemination

Litters

Use this application to register a litter of puppies born in the USA from an AKC-registered female that was mated to an AKC-

registered male of the same breed. AKC rules and regulations may be viewed on our Web site at: www.akc.org. Once submitted,

this application becomes the property of the American Kennel Club. Note: All forms listed below are available on our Web site:

www.akc.org.

Purpose

Request and submit a Special Litter Registration Application

instead

of this form.

Litters Mated

Abroad

Request a Multiple-Sire Litter Registration Application and use a Multiple-Sire Litter Registration Application form to register each

litter. The Multiple-Sire Litter Registration Application cover page contains details on fees and required DNA certification.

Multiple-Sired

Litters

Processing fees are nonrefundable and all fees are subject to change without notice. A litter application fee always comprises

two parts: a processing fee ($25.00) plus a puppy fee (multiply the number of puppies by $2.00).

Additional fees are determined by circumstance:

Expedited Handling ($35.00)

Expedited Handling and Priority Mail service are available in the Continental U.S. only. No Saturday delivery. No delivery to a post office

box number - full address only. Allow 3-5 days for delivery.

Late Fee ($65.00)

Required if it has been more than 6 months since the litter was whelped.

Fees

Breeder Classifieds ($30.00)

List your litter on AKC’s Web site for 60 days. The ad includes breed, number of males and females in the litter, litter date of birth,

sire and dam information, and your contact information. For more information, go to www.akc.org/classified/. By listing your litter

you agree to provide the new owner(s) with the AKC individual registration application.

Breeders who are in good standing with

the AKC and have recently registered an AKC litter may use this service. The program is designed to assist breeders with selling

puppies directly to puppy buyers. Those who sell in wholesale channels (including brokers, auctioneers, pet shops, flea markets,

and USDA licensed “A” and “B” dealers) are not eligible to list litters

The AKC reserves the right to correct or cancel at will the

listing of this litter. Any information that is added to the listing may only concern the specific litter listed.

The listing fee will be

refunded if the litter is unregisterable or if all members of the litter are already registered; otherwise, it is nonrefundable.

Some listing restrictions apply. For more information about listing eligibility, visit www.akc.org/classified/.

Notice

The American Kennel Club reserves the right to correct or cancel for cause the registration of this litter and its descendants.

Any misrepresentation on this application is one example of for cause cancellation and may result in loss of AKC privileges.

Registration is not guaranteed. Processing fees are nonrefundable and all fees are subject to change without notice.

The listing fee will be refunded if the litter is unregisterable or if all members of the litter are already registered;

otherwise, it is nonrefundable.

By supplying your e-mail address, you consent to receive complimentary dog.com

e-certificates and communications

from AKC and approved third parties.

Email AKC at info@akc.org or call 919-233-9767 to speak to an AKC Customer Service Representative, Monday – Friday, 8:30 AM

– 5:00 PM. Information about the registration process and downloadable forms are available on our Web site: www.akc.org.

Assistance

Signatures of persons other than the owners or lessees will be accepted only if a properly completed authorization form has

been filed with the AKC.

Authorizations

Additional Requirements:

• If a Dam was leased at the time of mating or birth of a litter, you must submit a Lease Notification form.

• If a Sire has sired seven (7) or more litters in his lifetime or more than three (3) litters in the calendar year, an

AKC DNA profile must be on file.

Additional

Requirements

•

If there are more than two (2) Dam owners, contact the AKC for an Additional Signature form.

• Import DNA requirement: All imported dogs (male or female) registered on or after March 1, 2006 require

AKC DNA profiling prior to the registration of their first AKC-registered litter.

Standard Handling

Send the completed application to:

Mailing

Information

The American Kennel Club

P.O. Box 37901

Raleigh, NC 27627-7901

Expedited Handling

Send the completed application to:

The American Kennel Club

P.O. Box 37912

Raleigh, NC 27627-7912

Litter Registration

Application

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Note: If paying by check or money order, make payable to: The American Kennel Club.

Official AKC Litter Certificate ($20.00)

The Official AKC Litter Certificate verifies that a litter is officially registered with the AKC. This document, which is offered on

premium stock with an elegant color heading and AKC seal, contains basic litter information with a three-generation pedigree

contained in the body. The pedigree ends with the current litter (sire and dam) and contains no specific puppy information, AKC

titles, colors, DNA profiles, CERF or OFA Certifications. As the breeder, you will receive one frameable copy of the litter

certificate and additional copies for each puppy in the litter. The Litter Certificate Package is mailed separately.

ALITTA_10_06 11/8/06, 2:10 PM2

OnlineOnline

Online Go to www.akc.org/classified.

MailMail

Mail Complete the form on the back.

Your base listing appears when

the form is processed.

CallCall

Call Call AKC Customer Service at

919-233-9767.

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The AKC Web site welcomes over

a milliona million

a million

visitors each month. By listing your litter on

AKC’s site, your listing will reach many potential purebred puppy buyers.

Post and maintain your listing.Post and maintain your listing.

Post and maintain your listing.

Post your listing for

60 days60 days

60 days for only

$30 $30

$30.

Modify your contact information, number of

males and females for sale, and the sale price

— when you like, as often as you like — for

no additional cost.

Quick Start Guide:Quick Start Guide:

Quick Start Guide:

There are three ways to list your litter on the

AKC Web site.

our base listing includes:our base listing includes:

our base listing includes:

• Contact information

• Litter information

• Sire and Dam information

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Dalmatians

Sample ListingSample Listing

Sample Listing

Breeder Contact InformationBreeder Contact Information

Breeder Contact Information

Contact: Jane Doe

Location: Raleigh, NC 27606

Phone: 919 816 3600

Email: Janedoe@akc.org

Sales Price (optional): $0.00

Litter InformationLitter Information

Litter Information

Sire: CH Centerview’s Pride (WP12345678)

DNA: AKC DNA #V123456

OFA/OFEL: OFA38E/ OFEL38

CERF: CERF26

Click to Purchase Pedigree

Dam: CH Lady Centerview (WP23456789)

DNA: AKC DNA #V234123

OFA/OFEL: OFA24G/ OFEL24

CERF: CERF28

Click to Purchase Pedigree

DOB: May 10, 2005

Males: 4 Females: 3

Create your listing for immediate display:

THE FUTURE IS IN YOUR

WHELPING BOX.

™

◆

Average 30% discount on litter registration fee*

◆

Control over data entered on individual puppy registrations

◆

A 40% discount on each individual puppy registration

◆

Option to purchase discounted pedigrees

◆

Added value for your puppy’s new owner

Based on average litter size

Download a full litter registration application at

http://www.akc.org/pdfs/Full_Litter_Registration_Application.pdf

WE TAKE YOUR BREEDING PROGRAM

AS SERIOUSLY AS YOU DO.

Try Full Litter Registration Today!

An alternative to traditionalregistration, fulllitter registration

lets you register your litter and all puppies in the litter

to yourself at the same time, at a discounted price.