Litter registration application

Breeder:

Name of breeder
Kennel name
Adress
Zip code. / Town
Phone
E-mail
Parrents of the litter:

Sire of the litter

  

Dam of the litter

Name on pedigree		  
Name on pedigree

Pedigree number		  
Pedigree number
Yes     No
Is the dog registret at NKC?
If yes, NKC registration number		   Yes     No
Is the dog registret at NKC?
If yes, NKC registration number

Hip result		  
Hip result

Sire		  
Sire

Dam		  
Dam

Date the litter is born:

Male 1

  

Female 1

Name on pedigree		  
Name on pedigree

Color		  
Color

Microchip number or tattoo		  
Microchip number or tattoo
If the puppy are sold - New owner:   If the puppy are sold - New owner:

Owners name		  
Owners name

Address		  
Address

Zip code. / Town / Country		  
Zip code. / Town / Country

Male 2

  

Female 2

Name on pedigree		  
Name on pedigree

Color		  
Color

Microchip number or tattoo		  
Microchip number or tattoo
If the puppy are sold - New owner:   If the puppy are sold - New owner:

Owners name		  
Owners name

Address		  
Address

Zip code. / Town / Country		  
Zip code. / Town / Country

Male 3

  

Female 3

Name on pedigree		  
Name on pedigree

Color		  
Color

Microchip number or tattoo		  
Microchip number or tattoo
If the puppy are sold - New owner:   If the puppy are sold - New owner:

Owners name		  
Owners name

Address		  
Address

Zip code. / Town / Country		  
Zip code. / Town / Country

Male 4

  

Female 4

Name on pedigree		  
Name on pedigree

Color		  
Color

Microchip number or tattoo		  
Microchip number or tattoo
If the puppy are sold - New owner:   If the puppy are sold - New owner:

Owners name		  
Owners name

Address		  
Address

Zip code. / Town / Country		  
Zip code. / Town / Country

Male 5

  

Female 5

Name on pedigree		  
Name on pedigree

Color		  
Color

Microchip number or tattoo		  
Microchip number or tattoo
If the puppy are sold - New owner:   If the puppy are sold - New owner:

Owners name		  
Owners name

Address		  
Address

Zip code. / Town / Country		  
Zip code. / Town / Country

Male 6

  

Female 6

Name on pedigree		  
Name on pedigree

Color		  
Color

Microchip number or tattoo		  
Microchip number or tattoo
If the puppy are sold - New owner:   If the puppy are sold - New owner:

Owners name		  
Owners name

Address		  
Address

Zip code. / Town / Country		  
Zip code. / Town / Country

Male 7

  

Female 7

Name on pedigree		  
Name on pedigree

Color		  
Color

Microchip number or tattoo		  
Microchip number or tattoo
If the puppy are sold - New owner:   If the puppy are sold - New owner:

Owners name		  
Owners name

Address		  
Address

Zip code. / Town / Country		  
Zip code. / Town / Country

Male 8

  

Female 8

Name on pedigree		  
Name on pedigree

Color		  
Color

Microchip number or tattoo		  
Microchip number or tattoo
If the puppy are sold - New owner:   If the puppy are sold - New owner:

Owners name		  
Owners name

Address		  
Address

Zip code. / Town / Country		  
Zip code. / Town / Country

Male 9

  

Female 9

Name on pedigree		  
Name on pedigree

Color		  
Color

Microchip number or tattoo		  
Microchip number or tattoo
If the puppy are sold - New owner:   If the puppy are sold - New owner:

Owners name		  
Owners name

Address		  
Address

Zip code. / Town / Country		  
Zip code. / Town / Country

  

Registreringsformularen er lavet af Karina Kettner