FO6ADM-A Single rev 8-06.qxd 8/9/2006 10:19 AM Page 1 REGISTRIES ACKNOWLEDGED BY UKC * Denotes breeds that require photos. See rule #4. IMPORTANT INFORMATION AND RULES GOVERNING SINGLE REGISTRATION 1. United Kennel Club, Inc., is a separate and distinct registry and has no affiliation to any other registry. 2. All Applications for Single Registration must be submitted on a United Kennel Club application form which is furnished free of charge. A copy of the completed application will not be made available once submitted to the United Kennel Club. All Breeds AKC – American Kennel Club BKC – Bermuda Kennel Club CKC – Canadian Kennel Club FCI – Federation Cynologique Internationale TKC – The Kennel club Akbash ADAA – Akbash Dog Assn. of America Alaskan Klee Kai Alaskan Klee Kai Assn. of America *American Bulldog ABA - American Bulldog Assn. ARF - Animal Research Foundation John D Johnson Bulldog Registry National American Bulldog Assn. NKC - National Kennel Club SATHY Finnish Organization 3. All applications must be accompanied by proof of registration with a UKC-acknowledged registry as well as a complete three generation pedigree. Single Registration rules and requirements may vary according to breed. If any questions, please contact the registration office at the United Kennel Club. *American Hairless Terrier UKCI - Universal Kennel Club Intl. 4. If you cannot supply proof that your dog is registered with a UKC-acknowledged registry, attach a written explanation, complete three generation pedigree, and three (3) color photos of your dog to be reviewed by the Single Registration Committee. Photos should be sufficiently large (3”x 3” minimum), and include a clear shot from the front and one taken from each side in profile. Australian Kelpie NAAKR - North American Australian Kelpie Registry, Inc. National Association of Australian Kelpies (USA) Working Kelpie Council of Australia 5. For all dogs registered under a nonbreeding contract with a UKC-acknowledged registry, three (3) color photos, including a clear shot from the front and one taken from each side in profile, are required in order to be considered for full registration rights. Azawakh AAA - American Azawakh Assn. 6. Dogs exhibiting breed standard disqualifications will be denied full registration rights but may apply for Limited Privilege listing. Refer to www.ukcdogs.com for breed standards and disqualifications. Limited Privilege dogs must be spayed/neutered and are only eligible for UKC performance events. Limited Privilege Gun Dogs are also eligible for Hunting Retriever events. Bergamasco Ente Nazionale Della Cinofilia Haliana 7. United Kennel Club, Inc., reserves the right to refuse any Application for Single Registration, as well as correct or revoke any UKC Registration Certificate or Pedigree at any time. American Foxhound Masters of Foxhounds American Water Spaniel AFS - American Field Society Appenzeller Appenzell Mountain Dog Club of America Australian Shepherd ASCA – Australian Shepherd Club of America National Stock Dog Registry Barbet AFS - American Field Society Beauceron Canine Federation of Canada North American Beauceron Club Berger de Pyrenees Pyrenean Shepherd Club of America Black Russian Terrier Black Russian Terrier Club of America Bolognese Bolognese Club of America Border Collie ABCA – American Border Collie Association AIBC – American International Border Collie Registry International Sheep Dog Society North American Sheep Dog Society Boykin Spaniel AFS - American Field Society Boykin Spaniel Society Bracco Italiano AFS – American Field Society Braque Francais de Grand Taille AFS – American Field Society Braque Francais de Petite Taille AFS – American Field Society Canine Federation of Canada English Setter AFS – American Field Society English Shepherd IESR - International English Shepherd Registry NSDR – National Stock Dog Registry English Springer Spaniel AFS – American Field Society Entlebucher Entlebucher Cattle Dog Registry NEMDA – National Entlebucher Mountain Dog Association Field Spaniel AFS – American Field Society Braque du Bourbonnais AFS – American Field Society Finnish Lapphund Finnish Lapphund Club of America Brittany Spaniel AFS – American Field Society Flat-Coated Retriever AFS – American Field Society Canaan Dog Canaan Dog Club of America Israel Canaan Dog Club of America, Inc. German Longhaired Pointer AFS – American Field Society Carolina Dog ISIS – International Species Information System Caucasian Ovtcharka The Caucasion Ovtcharka (Mountain Dog) Club of America Cavalier King Charles Spaniel Cavalier King Charles Spaniel Club, USA Cesky Terrier Cesky Terrier Club of America National Cesky Terrier Club Chesapeake Bay Retriever AFS – American Field Society Clumber Spaniel AFS – American Field Society *Cocker Spaniel AFS – American Field Society Coton de Tulear American Coton Club American Coton de Tulear Assn. Canine Federation of Canada Coton de Tulear Club of America Curly-Coated Retriever AFS – American Field Society *Dogo Argentino Canine Federation of Canada *Dogue de Bordeaux Canine Federation of Canada Dogue de Bordeaux Club of America FIC - Federation of Intl. Canines United States Dogue de Bordeaux Club German Pinscher American German Pinscher Breeders Association FKK – Finaks Kennelkubben GPC – German Pinscher Club of America ORK – Osterreichischer Kyrologenverband PSK - Pinscher-Schnauzer Klub RVB – Raad Van Beherr Op Kynologisch Geibied SCC – Societe Central Canine *German Shepherd United Schutzhund Club of America German Shorthaired Pointer AFS – American Field Society German Wirehaired Pointer AFS – American Field Society Glen of Imaal Terrier The Glen of Imaal Terrier Club of America Golden Retriever AFS – American Field Society Gordon Setter AFS – American Field Society Greyhound National Greyhound Association Icelandic Sheepdog Icelandic Sheepdog Association of America *Jindo Korean National Endemic Dog Assn. Kai National Kai Club of America Kangal KDCA – Kangal Dog Club of America Labrador Retriever AFS – American Field Society Large Munsterlander AFS – American Field Society Large Munsterlander Club Leonberger Leonberger Club of America Louisiana Catahoula Leopard Dog ARF – Animal Research Foundation Catahoula Cur Breeders Assn. Louisiana Catahoula Cur Assn. National Association of Louisiana Catahoulas NKC – National Kennel Club NSDR – National Stock Dog Registry Lowchen Lowchen Club of America Lundehund Norwegian Lundehund Club of America Maremma Sheepdog Maremma Sheepdog Club of America Neopolitan Mastiff American Neapolitan Mastiff Assn. Neapolitan Mastiff Club of America United States Neapolitan Mastiff Club New Guinea Singing Dog ISIS – International Species Information Systems Norwegian Buhund The Norwegian Buhund Club Nova Scotia Duck Tolling Retriever AFS – American Field Society Novia Scotia Duck Tolling Retriever Club Poodle (Miniature and Toy) AFS – American Field Society Portuguese Water Dog AFS – American Field Society *Rat Terrier American Canine Association ARF – American Research Foundation Continental Kennel Club Continental Working Terrier Assn. NKC – National Kennel Club SKC - States Kennel Club UKCI – Universal Kennel Club Intl. World Wide Kennel Club *Russell Terrier JRTCA – Jack Russell Terrier Club of America NKC – National Kennel Club PKC – Professional Kennel Club Sloughi Sloughi Club of America Small Munsterlander AFS – American Field Society Spanish Water Dog Spanish Water Dog Association of America Spinone Italiano AFS – American Field Society Standard Poodle AFS – American Field Society Sussex Spaniel AFS – American Field Society Swedish Vallhund Swedish Vallhund Club of America *Teddy Roosevelt Terrier ACA – American Canine Assn. ARF – Animal Research Foundation Continental Kennel Club Continental Working Terrier Assn. NKC – National Kennel Club SKC – States Kennel Club UKCI – Universal Kennel Club Intl. World Wide Kennel Club Tibetan Mastiff American Tibetan Mastiff Assn. Tosa Ken Any Japanese or Korean Registry Vizsla AFS – American Field Society Patterdale Terrier Patterdale Terrier Club of America Weimaraner AFS – American Field Society Irish Red & White Setter AFS – American Field Society Irish Red and White Setter Club of America *Perro de Presa Canario UPPCC – United Perro de Presa Canario Club Welsh Springer Spaniel AFS – American Field Society Irish Setter AFS – American Field Society Peruvian Inca Orchid Peruvian Inca Orchid Club of America English Cocker Spaniel AFS – American Field Society Irish Water Spaniel AFS – American Field Society English Foxhound Masters of Foxhounds *Jack Russell Terrier JRTCA – Jack Russell Terrier Club of America NKC – National Kennel Club PKC – Professional Kennel Club English Pointer AFS – American Field Society Jagdterrier NKC – National Kennel Club PKC – Professional Kennel Club Podengo Portuegeso Portuguese Podengo Club of America Polish Owczarek Nizinny American Polish Owczarek Nizinny Club We reserve the right to change any and all rules, fees, etc. without notice. Completed forms become sole property of United Kennel Club, Inc and will not be returned. West Siberian Laika FIC - Federation of Intl. Canines White Shepherd The Kennel Union of South Africa Wirehaired Pointing Griffin AFS – American Field Society Xoloitzcuintli Xoloitzcuintli Club of America FO6ADM-A 8/06 FO6ADM-A Single rev 8-06.qxd 8/9/2006 10:19 AM Page 2 APPLICATION FOR SINGLE REGISTRATION Prices effective January 1, 2005 Step 1 Breed Owner of Sire at Time of Breeding ______________________________________________________ Owner of Dam at Time of Breeding ______________________________________________________ Tattoo/Microchip # ______________________________ Microchip Type ________________________ ________________________________ Date of Birth ________________________ Is dog spayed/neutered? No Yes. If yes, provide date __________/ __________/ __________ Dog Name ________/ ________/ ________ month day year Is this dog Temporarily Listed? Yes No Step 3 month day year Pedigree Please attach photocopy of pedigree or complete pedigree information below. If dogs are UKC registered, list dogs’ names and UKC numbers. If not UKC registered, list only dogs’ names. Do not include titles or degrees. TL# ________________________________________________ Sire __________________________________________________________UKC No. __________________________ Fees (Checks and money orders must be payable in US Funds.) Sire ______________________________________________________________UKC No. __________________________ 1-4 dogs ........................................$28 each______ 5 or more dogs ..............................$21 each______ Next Day Air ............................................$25______ (Continental US only. Need a physical mailing address.) Saturday Delivery Next Day Air ..............$35______ Dam __________________________________________________________UKC No. __________________________ Sire __________________________________________________________UKC No. __________________________ Sire __________________________________________________________UKC No. __________________________ Dam ______________________________________________________________UKC No. __________________________ (If available in your area.) Dam __________________________________________________________UKC No. __________________________ Rush Service ..........................................$10______ (Processed within five business days of receipt at UKC.) Sire __________________________________________________________UKC No. __________________________ GRAND TOTAL $ __________ Note: If requesting special service, make sure to write RUSH or NEXT DAY AIR on the outside of your envelope. Faxed applications will be charged an automatic RUSH service fee. Sire ______________________________________________________________UKC No. __________________________ Dam __________________________________________________________UKC No. __________________________ Dam __________________________________________________________UKC No. __________________________ Please make checks or money orders payable to: Sire __________________________________________________________UKC No. __________________________ United Kennel Club, Inc. 100 E. Kilgore Rd. Kalamazoo, MI 49002-5584 Phone: (269) 343-9020 • Fax: (269) 343-7037 www.ukcdogs.com Credit Card Information: PLEASE PRINT CLEARLY OR TYPE AS WE CANNOT BE RESPONSIBLE FOR ERRORS CAUSED BY ILLEGIBLE HANDWRITING. Color __________________________________________________________________Sex ____________ Incomplete applications will not be accepted. See reverse for rules and regulations. Variety (if applicable) Step 2 Dog Information MasterCard Visa Dam ______________________________________________________________UKC No. __________________________ Dam __________________________________________________________UKC No. __________________________ Step 4 Are both owners’ signatures required if this dog is sold or when registering a litter of puppies? Yes No Print Name(s) of Owner(s) ________________________________________ / ____________________________________________ Cardholder’s Name __________________________________________ Cardholder’s Address ________________________________________ Dog Owner Information (Must be filled out by the owner(s) of the dog.) (no more than two owners) Current Mailing Address________________________________________________________________________________________ City ____________________________________________________________State ____________________Zip_________________ Credit Card Number __________________________________________ Expiration Date ______________________________________________ UKC Office Use Only Declined Approved Auth # ______________________________________________________ Fee ________Init ________In Date ________Ctrl # ________________ Single approved ______________________________________________ Day Phone ( ________ ) __________________________ E-Mail Address ______________________________________________ “I/We attest that all of the information and facts included on this form are true and correct. I further attest that the dog for which Single Registration is being applied: a) meets the UKC breed standard for the breed for which it is being registered; b) does not exhibit any of the breed standard disqualifications; and c) is a good specimen of that breed. I\We agree to follow the UKC Breeder Code of Ethics should I\we decide to breed this dog.” Signature(s) of Owner(s) ________________________________________ / ______________________________________ Step 5 Is proof of registration with a UKC acknowledged registry attached? Yes No
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