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ANIMAL RESEARCH FOUNDATION |
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
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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. ______________________