Registration Application

A m e r i c a n P u r e b r e d R e g i s t r y (print this page)

Fee: $15.00 (US Funds Only)

Name Choice:

(limit 20 letters)

Second Choice:

Sex:

Breed:

Color:

D.O.B.

Breeder:

Sire

Color:

Registration#:

Organization:

Dam:

Color

Registration#:

Organization:

I certify that the above named and described animal is a full-blooded representative of the breed I have indicated, and that all information I have provided on this application is true and correct to the best of my knowledge. I am applying to American Purebred Registry to issue a registration certificate from the facts I have provided.

Owners name:

Address:

City:

State:

Zip:

Phone:

E-mail:

Signature:

Date:

Checks or money orders accepted in US funds only. Make all checks or money orders payable to American Purebred Registry. Mail to: American Purebred Registry PO Box 111 League City TX 77574

Complete this application and mail it to us today. We will process your registration application and mail your certificate upon acceptance of your pet for registration. This application becomes the property of APR when completed and received by this office. Liability limited to refund of registration fee. APR has no affiliation with AKC, UKC, CFA or any other registration organization or association. Please write or email us if you need additional applications, or feel free to print out additional copies of this application. Registration fees subject to change without notice.