Staple
Animal's
Picture
Here

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

 

ARF APPLICATION FOR "CERTIFICATE OF REGISTRATION"

(Please type or print clearly)

Notice:  ARF Certified Pedigrees, issued by any Breeder, after September 1, 1989, are obsolete.  All ARF Certified Pedigrees originate from the Foundation office upon application only.

All information 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:  $50.00 
                                                                                                                                                                              

Office Use Only


ARF REG. NO.

 

Postal Money Order Please
( Get at Post Office )
No Personal Checks or Credit Cards
                                                                                                                                                                                                                                

NAME OF REGISTERED ANIMAL: _____________________________________________________________________________________________________
                                                                                                (Animal's name not to exceed 30 Letter Spaces)

COLOR: _________________________________________________________________________________SEX: ________________

D.O.B._________________TOTAL NO. BORN________________LIVING MALES______________LIVING FEMALES_____________



NAME OF SIRE: ______________________________________________________________________________REG. NO.______________

Name of Sire's Breeder: _________________________________________________________________________________________________

NAME OF DAM: ______________________________________________________________________________REG. NO.______________

Name of Dam's Breeder: ________________________________________________________________________________________________

NAME OF BREEDER: _____________________________________________________________PH.:________________________________

BREEDER'S ADDRESS: _______________________________________________________________________________________________

BREEDER'S SIGNATURE: _____________________________________________________________________________________________

                                                                                  

 

 

 

 

 

APPLICATION INSTRUCTIONS
Check one or more items below that meet your circumstance:
List or attach that information to this application.

                                                                 


_______Attach copies of Sire's and/or Dam's ARF Certificate of Registration.

_______Supply ARF Litter Registration Number ( You may need to contact your animal's breeder for this information.):

            _____________________________thru________________________________Vol.___________________

Note:  If your Sire and/or Dam were not originally registered with the Foundation, you must:

_______Provide the Foundation a copy of your Sire's and/or Dam's Certificate of Registration ( including Pedigree),
            Or complete the Extended Pedigree on the back of this application ( A 5-Generation Pedigree is required, including the above-named animal. )
I, the applicant, certify that the information given on this application is true and correct to the best of my knowledge.

_____________________________________________________
Applicant's Signature

                                                                                  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 ________
                                                                                  
                                                                                   OWNER'S NAME AND ADDRESS
                                                                       
( As it is to appear on the ARF Certificate of Registration)



Owner's Name:__________________________________________________________________Ph.:_______________________

Owner's Address:___________________________________________________________________________________________

City, State, ZipCode:________________________________________________________________________________________

Rev. 7-99                                                                                                                               Date Reg. ______________________