ANIMAL RESEARCH FOUNDATION
NON-DOMESTIC U.S.
C/O 11182 HIGHWAY 34 SOUTH
QUINLAN, TEXAS TPZ 75474
(903) 356-2267 w FAX (903) 356-3078
E-Mail: stodghills.arf@juno.com
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ANIMAL RESEARCH FOUNDATION |
APPLICATION FOR "MERIT PEDIGREE"
Please Type or Print Clearly
Notice: If both the Sire and Dam have a Certificate of Registration, please
request our "ARF Application for "No Pedigree".
Our "Merit" registration program starts an animal's pedigree based on animal's
temperament and instinct, and conforms to its breed standard. All information contained on this application is subject to verification, and
any manufactured information given herein will automatically void the
registrability of this animal. All ARF Certified Pedigrees are subject to
correction or cancellation. Reg. Fee is nonrefundable.
NAME OF BREED:
_____________________________________________________________________________________________
Reg. Fee: $250.00 (Unreg. Sire &/or Dam)
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OFFICE USE ONLY |
| MERIT REG. NO. |
Postal Money Order Please
(Get at Post Office)
No Personal Checks or Credit Cards
NAME OF REGISTERED ANIMAL:
_________________________________________________________________________________
(name not to exceed 30 Letter/Spaces)
COLOR: __________________________________SEX: ________________________________
D.O.B. ___________TOTAL NUMBER BORN______ LIVING MALES ______
LIVING FEMALES______
NAME OF BREEDER (If known)
___________________________________________________________________________________
BREEDER'S ADDRESS (If known):
__________________________________________________________________________________
NAME OF SIRE: (If known):
__________________________________________________________________________Reg.
No. _______________
Name of Sire's Breeder (If known):
___________________________________________________________________________________
SIRE'S SIRE:
_______________________________________________________________________________________Reg.
No. _______________
SIRE'S DAM:
_______________________________________________________________________________________Reg.
No. _______________
NAME OF DAM (If known):
___________________________________________________________________________Reg.
No. _______________
Name of Dam's Breeder (If known):
__________________________________________________________________________________
DAM'S SIRE:
_______________________________________________________________________________________Reg.
No. _______________
DAM'S DAM:
______________________________________________________________________________________Reg.
No. _______________
WHY HAVE YOU CHOSEN TO REGISTER THIS ANIMAL?
(i.e. Performance, Protection, Breeding, Companionship, etc.)
Please describe______________________________________________________________________________________
ANIMALS WORTHY OF ARF REGISTRATION
The information supplied on this "Application" is provided by the applicant
for the purpose of obtaining an ARF Certificate of Registration for the
above-named animal. The applicant certifies the following is true and correct:
Did your animal come from an animal rescue? Yes ___ No ___ Did your animal
come from an animal shelter: Yes ___ No ___
If yes, please attach business cards.
Other: (Explain)
_______________________________________________________________________________________________
Attach proof or statement of acquisition.
WORKING STOCKDOGS
Did this animal come from working stock?
Yes _____ No _____ Did you see this animal work? Yes _____ No _____
Did you see the Sire and Dam of this animal? Yes ___
No ___ Please identify type of work: ____________________________________
Name of Seller:
_________________________________________________________________________________________________
Address:
_______________________________________________________________________________________________________
City, State, Zip Code:
_____________________________________________________________________________________________
Attach copy of your proof of purchase. (i.e. check or cash receipt)
DVM CERTIFICATION
I, Dr. __________________________________________________, do hereby certify,
to the best of my knowledge, that the above described animal is a pure breed.
Dated this ___________________ day of _______________________ ________.
Signed by: Dr. ______________________________________________________, DVM, Lic..
No.: ____________________
Attach DVM's business card here.
OWNER'S CERTIFICATION
I, ______________________________________________________, do hereby certify,
to the best of my knowledge, that the above information is true and correct.
Owner's Signature
_____________________________________________________________________________________________
OWNER'S NAME AND ADDRESS
(as it is to appear on ARF Certificate of
Registration)
Owner's Name:
________________________________________________________________________________________________
Owner's Address:
_______________________________________________________________________________________________
City, State, Zip Code:
___________________________________________________________________________________________
OPTIONAL INFORMATION
Microchip No.: ____________________
DNA Cert. No.: ____________________
Tattoo No.:
____________________
Spayed: Yes_______ No ______
PennHip: R __________ L ____________
Neutered: Yes
_______No ______
OFA Rating: ____________________
Planning to Breed: Yes
______ No _____
Note: Please attach a copy of your DVM's verification certificates to this
document.
OFFICE USE ONLY
Approved by: ____________________________________
Date Accepted: ________________________
Rejected by: _____________________________________
Date Rejected: __________________________
Reason for Rejection:
______________________________________________________________________________