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Page 1: Full Litter Offspring Registration - American Kennel …images.akc.org/pdf/ALITTO.pdf · Full Litter — Offspring Registration Littter and payment Information See page 3 for complete

Full Litter — Offspring Registration

Littter and payment Information See page 3 for complete details

This form can be used to individually register all puppies, of a recently registered litter, in the ownership of the recordedowner(s) of the litter. This form can only be used to register the entire litter to the recorded owner(s) of the litter. Registration is not guaranteed. Processing fees are nonrefundable and all fees are subject to change without notice.

*or1aC*

OR1AC

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

AKC Litter Number

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

Total Males Females = Puppies

Account Number (do not include dashes) Expiration Date Printed Name of Cardholder

Individual Dog Information

Enter $12.00 for each pedigree requested. See page 3 for details.

Enter $10.00 for each Lost and Found requsted. See page 3 for details.

x $20.00 AKC Registration $ x $12.00 Pedigrees $

x $10.00 Lost & Found $

Payment Method: VISA AMEX MasterCard DiscoverCheck or money order made payable to: The American Kennel Club Total Fee $

Puppy Include: 3-Gen Pedigree ($12.00) Lost & Found ($10.00) Microchip# Sex Color Markings Variety Limited

Dog Name

01

All puppies in the litter must be registered in the ownership of the litter owner(s). If there are more than 6 puppies in the litter, please complete page 2. Correct codes for Color and Markingscan be found on the AKC Website at www.akccolors.org.

I (we) certify by my (our) signature(s) that all the information appearing on this application is correct and that I (we) am (are) in good standing with the American Kennel Club. 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.

1st Owner’s Signature 2nd Owner’s Signature

© 2012 The American Kennel Club Page 1 ALITTO (05/12) Stat

I give permission to use my AKC Registered Kennel Name:

Puppy Include: 3-Gen Pedigree ($12.00) Lost & Found ($10.00) Microchip# Sex Color Markings Variety Limited

Dog Name

02

I give permission to use my AKC Registered Kennel Name:

Puppy Include: 3-Gen Pedigree ($12.00) Lost & Found ($10.00) Microchip# Sex Color Markings Variety Limited

Dog Name

03

I give permission to use my AKC Registered Kennel Name:

Puppy Include: 3-Gen Pedigree ($12.00) Lost & Found ($10.00) Microchip# Sex Color Markings Variety Limited

Dog Name

04

I give permission to use my AKC Registered Kennel Name:

Page 2: Full Litter Offspring Registration - American Kennel …images.akc.org/pdf/ALITTO.pdf · Full Litter — Offspring Registration Littter and payment Information See page 3 for complete

Full Litter — Offspring Registration *or2aC*OR2AC

Use this page if there are more than 6 puppies in the litter. Correct codes for Color and Markings can be found on the AKC Website www.akccolors.org.

Registered Name of Dam (Female)

AKC Litter Number

Registered Name of Sire (Male)

Page 2 ALITTO (05/12) Stat

AMERICAN KENNEL CLUB®

Puppy Include: 3-Gen Pedigree ($12.00) Lost & Found ($10.00) Microchip# Sex Color Markings Variety Limited

Dog Name

05

I give permission to use my AKC Registered Kennel Name:

Puppy Include: 3-Gen Pedigree ($12.00) Lost & Found ($10.00) Microchip# Sex Color Markings Variety Limited

Dog Name

06

I give permission to use my AKC Registered Kennel Name:

Puppy Include: 3-Gen Pedigree ($12.00) Lost & Found ($10.00) Microchip# Sex Color Markings Variety Limited

Dog Name

07

I give permission to use my AKC Registered Kennel Name:

Puppy Include: 3-Gen Pedigree ($12.00) Lost & Found ($10.00) Microchip# Sex Color Markings Variety Limited

Dog Name

08

I give permission to use my AKC Registered Kennel Name:

Puppy Include: 3-Gen Pedigree ($12.00) Lost & Found ($10.00) Microchip# Sex Color Markings Variety Limited

Dog Name

09

I give permission to use my AKC Registered Kennel Name:

Puppy Include: 3-Gen Pedigree ($12.00) Lost & Found ($10.00) Microchip# Sex Color Markings Variety Limited

Dog Name

10

I give permission to use my AKC Registered Kennel Name:

Puppy Include: 3-Gen Pedigree ($12.00) Lost & Found ($10.00) Microchip# Sex Color Markings Variety Limited

Dog Name

11

I give permission to use my AKC Registered Kennel Name:

Puppy Include: 3-Gen Pedigree ($12.00) Lost & Found ($10.00) Microchip# Sex Color Markings Variety Limited

Dog Name

12

I give permission to use my AKC Registered Kennel Name:

AKC Number of Sire (Male)

AKC Number of Dam (Female)

Page 3: Full Litter Offspring Registration - American Kennel …images.akc.org/pdf/ALITTO.pdf · Full Litter — Offspring Registration Littter and payment Information See page 3 for complete

Full Litter — Offspring Registration*or3aC*

OR3ACAMERICAN KENNEL CLUB®

General Information and Instructions

Purpose

Fees

MailingInformation

AdditionalRequirements

Assistance

Authorizations

Notice

This form can be used to individually register all puppies, of a recently registered litter, in the ownership of the recorded owner(s) of the litter. This form can only be used to register the entire litter to the recorded owner(s) of the litter. AKC rules and regulations may be viewed on our website at www.akc.org. Once submitted this application becomes the property of the American Kennel Club.

Processing fees are nonrefundable and all fees are subject to change without notice.Individual registration processing fee (multiply the number of puppies by $20.00) .Additional fees are determined by circumstance:AKC Certified Pedigrees for individual dogs ($12.00 each). You may order a Three-generation AKC Certified Pedigree for any or all ofthe dogs in the litter.Lost & Found Option ($10.00 each). You may order the Lost & Found option for any or all of the dogs in the litter. Each dog will beenrolled in the AKC Companion Animal Recovery Corporation program and get a free dog tag to help reunite the owner with a lost pet.Recovery services are offered 24/7 and the contact information can always be updated at no cost.

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

The American Kennel ClubP.O. Box 900053Raleigh, NC 27675-9053

Standard HandlingSend the completed application to:

Additional Requirements: • All puppies in the litter must be registered to the AKC-recorded litter owner(s). • If there are more than two (2) litter 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.

Email AKC at [email protected] 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.

Signatures of persons other than the owners will be accepted only if a properly completed authorization form has beenfiled with the AKC.

The American Kennel Club reserves the right to correct or cancel for cause the registration of these dogs and their 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.

By supplying your email address and/or telephone number, you consent to receive communications from AKC and third parties.

Page 3 ALITTO (05/12) Stat