| National AmPug Club PO Box 298, Kiowa, OK 74553 Application to register a dog from an unrecorded litter Please print everything except signatures. MALE FEMALE Date of Birth: Reg. Number and Club [if registered]: Name Choice: 1st 2nd Sire: Reg. No. and Club Category Code [if NAPC} Dam: Reg. No. and Club Category Code [if NAPC] : Breeder [if known]: Category Code Chart - Please circle those that apply. Base Color Brindling Tail Docked 1 black 1 gold 1 yes 2 seal [dark brown] 2 silver 2 no 3 fawn 3 gold & silver 4 silver 4 black Blue in Eyes 5 other 5 none 1 yes 2 no ---------------------------------------------------------------------------------------------------------------------- White Markings [head & body] 0 none 1 face stripe 4 chest 7 full Boston markings 2 chin spot 5 abdomen 8 body spot 3 neck spot 6 partial collar 9 body spots [leg markings] none hairs toes foot 1/4 1/2 3/4 full eft front 1 2 3 4 5 6 7 8 right front 1 2 3 4 5 6 7 8 left hind 1 2 3 4 5 6 7 8 right hind 1 2 3 4 5 6 7 8 [ ] Check here if photos are included - required of dogs of unknown breeding. [ ] Check here if a copy of his/her papers are included - required of dogs registered with another club. I/we certify that this information is correct and that I/we would like to register this dog with the NAPC. Owner: Co-Owner:[opt] name name address address phone phone email email SIGNATURE SIGNATURE DATE DATE |
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| Print this page [you probably only need to print 1 page but check 'Print Preview' first], fill in as completely as possible [some of the information may be unknown], include fee, any required photos or documents, and snail mail to NAPC, PO Box 298, Kiowa, OK 74553 If you have any questions please email Am_Pugs@hotmail.com |
| FEE: $10.00 US |