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ANIMAL RESEARCH FOUNDATION |
Staple Animal's Picture Here |
APPLICATION FOR "DOUBLE REGISTRATION"
NAME OF BREED: ______________________________________________________________________________________________
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Double Registration Fee: $50.00 |
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OFFICE USE ONLY |
| ARF REG. NO.
VOL. |
NAME OF REGISTERED ANIMAL:
_________________________________________________________________________________
COLOR: _____________________________________________________________ MALE
PLEASE ATTACH THE FOLLOWING:
1. Copy of your Certificate of Registration, or Pedigree.
All ARF Certificates of Registration will be issued to the same individual(s) whose name(s) and address appear on the incoming Certificate of Registration, or to the individual(s) the Certificate of Registration has been transferred to. (If the original owner has sold his/her interest in the animal, and a transfer of ownership is required, please provide a copy of the front and back of the certificate of registration for verification.)
2. Copy of an extended pedigree for your animal.
This extended pedigree can be issued from the same organization that issued your certificate of registration, or it can be supplied by you, the owner. See reverse side.
3. Color photo of animal is required. (Side view, standing, facing camera).
No ARF Certificate of Registration will be issued without a photo on file. Please provide a sharp photo that gives a good general overall view of the animal being registered (Polaroid OK)
NOTICE
The information supplied on this 'Application' is provided by the applicant of the purpose of obtaining an ARF Certificate of Registration for the above-named animal. The acceptance of the above-named animal is based upon certified information supplied on a 'Bona Fide' Certificate of Registration and extended pedigree.
ARF reserves the right to correct or cancel any of its Certificates of Registration, or any of its ARF Certified Pedigrees.
All applicants desiring to double-register their animals with the ARF agree to abide by its policies, as written in the ARF Record Book.
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
Owner's Name:
__________________________________________________________________________________________________
Owner's Address:
_________________________________________________________________________________________________
City, State, Zip Code:
_____________________________________________________________________________________________
Owner's Phone #: __________________________________
OPTIONAL INFORMATION
| Microchip No.: __________________ Tattoo No. : ____________________ PennHip.; R _______ L _______ OFA Rating.; ___________________ |
DNA Cert. No.: __________________ Spayed.: Yes ____ No ____ Neutered.: Yes ____ No ____ Planning to Breed.: Yes ____ No ____ |
Note: Please attach a copy of your DVM's verification certificate(s) to this
application.
Revised Jan. 1, 2001
ARF/Common Law Copyright, Without Prejudice
UCC 1-207, Revised 6/04
ARF APPLICATION FOR DOUBLE REGISTRATION ADDENDUM
[READ IMPORTANT ARF CONSIDERATIONS ON PAGES 5 & 6.]
Breed of Canine: ___________________________________ a/k/a _________________________
Registered Name of Canine: _______________________________________________________
Previous Name of Canine [if name was changed]: ______________________________________
Enter the Name of the Canine’s Registry/Club that you are currently using, so that you can Double-Register your Canine with the ARF:
________________________________________________________________________
Registry’s/Club’s assigned Registration Number: ______________________________________
Note: Only those Registries/Clubs that have been established prior to 1981, are approved by the ARF. Check with your Registry/Club, to determine the year when they were organized. See Note number 3, Page 5 of 6 of this ARF-document, for approved ARF Registries and Clubs.
List the Names of all other organized Registries/Clubs, with Registration Numbers, where the above Canine can be located.
A.) Name of Registry/Club: ________________________________________________________
Registry’s/Club’s assigned Registration Number: ___________________________________
Name of Registry/Club: ________________________________________________________
Registry’s/Club’s assigned Registration Number: __________________________________
Page 1 of 6.
Name of Registry/Club: ________________________________________________________
Registry’s/Club’s assigned Registration Number: __________________________________
Canine’s Owner’s Name: __________________________________________________________
Canine’s Owner’s Address: ________________________________________________________
Canine’s Owner’s Phone Number: __________________________________________________
Canine’s Owner’s E-mail Address: __________________________________________________
Name of Breeder: ________________________________________________________________
Address: ________________________________________________________________________
Breeder’s Phone Number: _________________________________________________________
Breeder’s Kennel Name: __________________________________________________________
Breeder’s E-mail Address: _________________________________________________________
OPTIONAL: [An alternative, but not required.]
7. Did the breeder MicroChip his/her Sire? Yes: _____ No: _____ Not Available: _____
If yes, what is that MicroChip Number? ______________________________________________
Did the breeder MicroChip his/her Dam? Yes: _____ No: _____ Not Available: _____
If yes, what is that MicroChip Number? ______________________________________________
Place your Canine’s MicroChip Number here: ________________________________________
Note: It is ARF-recommended that all Canines considered for breeding programs be "MicroChiped" for identification purposes, and against possible theft.
Page 2 of 6.
OPTIONAL: [An alternative, but not required.]
8. Did the breeder DNA his/her Sire? Yes: _____ No: _____ Not Available: _____
If yes, what is that DNA Certificate Number? _________________________________________
Did the breeder DNA his/her Dam? Yes: _____ No: _____ Not Available: _____
If yes, what is that DNA Certificate Number? _________________________________________
Place your canine’s DNA Certificate Number here: _______________________________
Note: It is ARF-recommended that all Canines considered for breeding programs be DNA Certified. To order a DNA Instruction Sheet, Testing Submission Form, and Kit(s), contact:
VETERINARY DIAGNOSTIC CENTER
225 Corporate Court
Fairfield, Ohio 45014
1.800.625.0874
www.vetdnacenter.com
OPTIONAL: [An alternative, but not required.]
9. Did the breeder OFA [Orthopedic Foundation for Animals] his Sire’s hips at age 24 months?
Yes: _____ No: _____ Not Available: ______
If yes, what is the OFA Certificate Number? ___________________________________________
Did the breeder OFA his Dam’s hips at age 24 months? Yes: _____ No: _____ N/A _____
If yes, what is the OFA Certificate Number? ___________________________________________
Provide your canine’s OFA Certificate Number here: ____________________________
Note: It is ARF-recommended that all Canines considered for breeding programs be OFA certified by OFA. OFA preliminary "Canine Hip" evaluation - between 4 and 23 months; final evaluation at 24 months of age. For OFA procedures, contact:
The Orthopedic Foundation for Animals [OFA]
2300 East Nifong Blvd.
Columbia, Missouri 65201
Tel: 573.442.0418
Fax: 573.875.5073
Page 3 of 6.
OPTIONAL: [An alternative, but not required.]
Did the breeder do a CERF [Canine Eye Registration Foundation, similar to the OFA]
evaluation to eliminate hereditary eye diseases for his Sire? Yes: _____ No: _____ N/A ____
If yes, what is the CERF Certificate Number? _________________________________________
Did the breeder do a CERF evaluation to eliminate eye diseases for his Dam? Yes: _____
No: _____ Not Available ______
If yes, what is the CERF Certificate Number? _________________________________________
Provide your canine’s CERF certificate number here: __________________________________
Note: It is recommended that all Canines considered for breeding programs be screened and certified by CERF. All CERF screening are evaluated by veterinary eye specialists.
OPTIONAL: [An alternative, but not required.]
10. Did your breeder do "Temperament Testing" on his Sire? Yes: _____ No: _____ N/A _____
If yes, who did the temperament testing? _____________________________________________
Did your breeder do "Temperament Testing" on his Dam? Yes: _____ No: _____ N/A _____
If yes, who did the temperament testing? _____________________________________________
Provide a copy of your Canine’s "Temperament Testing Report".
Note: It is ARF-recommended that all Canines considered for breeding programs be "Temperament Tested". This testing can be done by your veterinarian, a licensed dog trainer, or through an ARF-recognized club or organization.
When you, the owner, purchased the above-named Canine, was there a written contract/
agreement between You and the Breeder?
Yes: ____ No: ____
If yes, please attach a copy of that "Contract/Agreement" with this "ARF Double Registration Addendum".
Page 4 of 6.
IMPORTANT ARF CONSIDERATIONS
If your Canine was sold to you, as "Pet
Quality", it is understood that your pet’s "ARF Certificate of
Registration" will indicate your Canine has been "spayed" or
"neutered".
Deceased Canines cannot and will not receive an "ARF Certificate of
Registration".
If your Canine was registered with an "Unapproved Registry/Club", you should understand that your pet cannot be ARF-registered. ARF-approved Registries/Clubs consist of the following: The "American Kennel Club [AKC]", the "Australian National Kennel Council [ANKC]", the "American Bulldog Association [ABA]", the "National Kennel Club [NKC]", the "United Kennel Club [UKC]", the "Canadian Kennel Club [CKC]", the "National Stock Dog Registry [NSDR]", the "Federation Cynologique Internationale [FCI]" , the "English Shepherd Club of America [ESCOA]", the "National Association of Louisiana Catahoulas [NALC]", the "World-Wide Kennel Club [WWKC]", the "Australian Shepherd Club of America [ASCA]", the "American International Border Collie [AIBC]" , the "American Border Collie [ABC]", the "American Border Collie Association [ABCA]", the "International Stock Dog Society [ISDS]", the "North American Sheep Dog Society [NASDS]", the "Olde English Bulldogge Association [OEBA]"; also, any Canine whose pedigree can be verified in the ARF ancestral stud books, and by "ARF Application for Merit Pedigree, can obtain an "ARF Certificate of Registration".
It is further understood, by you, the applicant, that if any discrepancies are discovered in your "ARF Application for Double Registration", and "ARF Application for Double Registration Addendum", it will be returned to you, without a refund; however, you can reapply by filling out another "ARF Application for Double Registration" and "ARF Application for Double Registration Addendum", and provide the correct documents with your ARF Application forms, along with another $50.00 ARF Application Registration Fee. Further, if an ARF Certificate of Registration was issued to you, the Owner, and a discrepancy is found, you will be notified of the discrepancy, and be allowed to correct the matter within 10 days of the notice. If not corrected within ten [10] days, the "ARF Certificate of Registration" will become void, and no litters will be ARF-registered, without an ARF-assigned Registration Number.
The "Owner" will note that we do not enter into any "Civil Disputes" between the "Breeder" and the Owner [a/k/a the Buyer]. Our only concern is with the Canine being ARF-registered; if the Breeder has a problem with the Canine Owner, the burden is upon the Breeder to enforce his/her "Contract", and/or "Agreement". Afterwards, ARF will adhere to all the legal matters that were attached to the above-said Canine.
It is understood, that, if you, the Canine owner, choose to become an ARF Certified Breeder, you will abide by these stipulations, and that you will not register your Canines, nor allow your Canines to be registered, with any other organization, than the ARF. This fact shall be stated in your sales contract.
Page 5 of 6.
It is understood, that you, the applicant, will abide with "ARF’s Code of Ethics" and "ARF Policy and Registration Procedures".
It is understood, that you, the applicant, will stamp all "ARF CERTIFIED PEDIGREES" [the litter’s puppy papers], in RED INK, the words "BREEDABLE" or "UNBREEDABLE", in addition with checking the boxes –
a. If this animal is not to be used for breeding purposes, please indicate that it is to be Spayed ___ Neutered ___ .
b. NO BREEDING PERMITTED: Limited Registration Involved; see details on reverse side of this pedigree.
It is understood, there will be no restrictions placed on the "ARF Certificate of Registration",
unless indicated on the "ARF Certified Pedigree". Further, the Animal Research Foundation [ARF] is not responsible for any health disorders or genetic problems that may or may not be detectable in the Sire, Dam, or Litter. The Breeder and the Buyer assume ALL responsibility in all sales, guarantees, conditions of sale, etc., expressed or implied. THE ANIMAL RESEARCH FOUNDATION IS NOT A PARTY TO SUCH AGREEMENTS!
ARF, was founded in 1947, upon biblical
principles, to be of service to our God, and to our fellowman; therefore, as stewards of what God
has entrusted to us, we believe in taking responsibility for the health, care,
and welfare of every animal God has entrusted to us. With this commitment in
mind, we ask that all ARF breeders write into their sales contact a "rescue
policy"; whereas, if any Owner is found abusing, neglecting, or no longer
able to care for his/her Canine, the Breeder will have the right, and duty, to
remove said Canine from the premises, and into a safe and healthy environment.
THEREFORE, I, the applicant, have completed this "ARF Application for Double Registration Addendum", to the very best of my ability and knowledge, and believe that the aforementioned information is true and correct. Further, I thoroughly have read this application, including all of the above "Important Notes", and I am in agreement with the principles set forth. Also, by signing this "ARF Application for Double Registration Addendum", I, the applicant, permit the Animal Research Foundation to research any and all information that has been assigned to this document, as well as the information attached to the "ARF Application for Double Registration".
Signed on this _____________day of _________________, in the year of our Lord, Jesus Christ, Two Thousand _____________ .
______________________________________ _______________________________
Signature of the Applicant Signature of an ARF Representative
ARF Application for Double Registration Addendum
ARF Common Law Copyright
Without Prejudice, UCC 1-207
Page 6 of 6.