Fillable Form 2: Litter Registration Application _ _

Fill Online, Printable, Fillable, Blank Form 2: Litter Registration Application _ _ Form

Use Fill to complete blank online OTHERS pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Form 2: Litter Registration Application _ _

On average this form takes 10 minutes to complete

The Form 2: Litter Registration Application _ _ form is 1 page long and contains:

  • 0 signatures
  • 1 check-box
  • 40 other fields

Country of origin: OTHERS
File type: PDF

BROWSE OTHERS FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
ALITTA (05/21) v1.0 Edit © 2021 The American Kennel Club
Litter Registration Application
I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THIS REGISTRATION OR AS TO THE CONSTRUCTION, INTERPRETATION AND EFFECT
OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL
APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES, REGULATIONS, PUBLISHED
POLICIES AND GUIDELINES.
Arbitration Clause
To Be Completed Only If Ownership of Dam Changed or Lease Terminated while Dam Was in Whelp (Pregnant)
Owner’s First Name
Owner’s Last Name
I certify that I was the owner or lessee of the identied Dam on the date the Dam was mated to the identied Sire. I certify that the Dam, while in my possession, was not mated to
any other dog during her season. By signing, I agree to the arbitration clause at the bottom of this page.
Owner’s/Lessee’s Signature
If this is a co-owned litter and you do not wish to allow Online Registration for the puppies, you must check this box. All co-owners must be in agreement.
Dam (Female) Information: To Be Completed and Signed by All Owners or Lessees of Dam on Date of Birth
I (we) certify that I (we) am (are) the owner(s) or lessee(s) of the identied Dam on the date of birth of the litter; that this Dam was not mated to any other dog during her season; that all of the
representations on this application are true; and I (we) agree to comply with AKC rules and regulations. I (we) agree if listing this litter on AKC’s Online Breeder Classieds to provide the new owner(s) with
the AKC individual registration application. By signing, I (we) agree to the arbitration clause at the bottom of this page. Note the DNA requirements in the Additional Requirements section on page 2.
1st Owner’s Signature 2nd Owner’s Signature
AKC Number of Dam (Female) Registered Name of Dam (Female)
AKC will send the litter kit (one registration application for each puppy) to the address below.
1st Owner’s First Name
1st Owner’s Last Name
Mailing Address
City
_
ZIP code + 4State
Telephone Number
_ _
2nd Owner’s First Name 2nd Owner’s Last Name
Email Address
Provide your email address to receive important AKC communications.
AKC Number of Sire (Male) Registered Name of Sire (Male)
Owner’s First Name Owner’s Last Name
Telephone Number
_ _
I certify that the identied Dam (Female) was mated to the identied Sire and that the Sire was owned/co-owned by me on the date of mating. Note the DNA requirements in the
Additional Requirements section on page 2. By signing, I agree to the arbitration clause at the bottom of this page.
Sire Owner’s or Co-Owner’s Signature
Sire (Male) Information: To Be Completed and Signed by an Owner/Co-Owner of Sire on Date of Mating
Email Address
Provide your email address to receive important AKC communications.
Use this application to register a litter of puppies bred and whelped in the USA from an AKC
®
-registered
female and an AKC-registered male of the same breed. Please use black ink and capital letters to ll in the boxes.
Registration is not guaranteed. Processing fees are nonrefundable and all fees are subject to change without notice.
$Total Fee
Breed:
_ _
Month YearDay
Litter Date of Birth:
Processing Fee $
2
5
Printed Name of Cardholder
Account Number (do not include dashes)
Expiration Date
_
Payment Method: VISA
AMEX
MasterCard
Discover
Check or money order made payable
to: The American Kennel Club.
Puppy Fee
$
Number to be registered:
x
$2.00
Total
Females
PuppiesMales
Add puppy fee:
+ =
$
AKC Marketplace
Litter Certicate
$
Expedited Handling
$
Late Fee $
List your litter on the AKC website. Enter $35 for a 90 day listing. See page 2 for details.
Enter $25.00 for your Of
cial AKC Litter Certicate. See page 2 for details.
Enter $35.00 to request expedited handling. See page 2 for details.
Enter $65.00 if it has been more than 6 months since the litter was whelped.
See page 2 for complete details
Litter and Payment Information
0
0
25.00
ALITTA (05/21) v1.0 Edit © 2021 The American Kennel Club
Litter Registration Application
AmericAn Kennel club
®
Notice
The American Kennel Club reserves the right to correct or cancel for cause the registration of this litter and its descendants.
Any misrepresentation on this application is one example of for cause cancellation and may result in loss of AKC privileges.
Registration is not guaranteed. Processing fees are nonrefundable and all fees are subject to change without notice.
The listing fee will be refunded if the litter is unregisterable or if all members of the litter are already registered;
otherwise, it is nonrefundable.
By supplying your email address and/or telephone number, you consent to receive communications from AKC and third parties.
All dogs from this litter will be eligible for Online Registration unless the designated box is checked. Please note this is for co-owned
litters only and all co-owners must be in agreement.
Email AKC at info@akc.org or call 919-233-9767 to speak to an AKC Customer Service Representative, Monday – Friday, 8:30 AM –
8:00 PM. Information about the registration process and downloadable forms are available on our website: www.akc.org.
Assistance
Signatures of persons other than the owners or lessees will be accepted only if a properly completed authorization form has been
led with the AKC.
Authorizations
• If a Dam was leased at the time of mating or birth of a litter, you must submit a Lease Notication form.
• If a Sire has sired seven (7) or more litters in his lifetime or more than three (3) litters in the calendar year, an AKC DNA prole must
be on le.
Additional
Requirements
• If there are more than two (2) Dam owners, contact the AKC for an Additional Signature Form.
• Import DNA requirement: All imported dogs (male or female) registered on or after March 1, 2006 require AKC DNA proling prior to
the registration of their rst AKC-registered litter.
• Conditional Registrations: If either the sire or dam has conditional registration (registration numbers that start with a “Q”), BOTH
sire and dam must have an AKC DNA prole prior to the registration of this litter. Additional competition and breeding restrictions
apply to the offspring.
Standard Handling
Send the completed application to: The American Kennel Club, P.O. Box 900052, Raleigh, NC 27675-9052
Mailing
Information
Expedited Handling
Send the completed application to: The American Kennel Club, P.O. Box 900055, Raleigh, NC 27675-9055
General Information and Instructions
Fresh Semen: Submit an Application to Register a Litter Resulting from Articial Insemination Using Fresh Semen.
Fresh Extended Semen: Submit an Application to Register a Litter Resulting from Articial Insemination Using Fresh Extended Semen.
Frozen Semen: Submit an Application to Register a Litter Resulting from Articial Insemination Using Frozen Semen.
Articial
Insemination
Litters
Use this application to register a litter of puppies born in the USA from an AKC-registered female that was mated to an AKC-
registered male of the same breed. AKC rules and regulations may be viewed on our website at: www.akc.org. Once submitted,
this application becomes the property of the American Kennel Club. Note: All forms listed below are available on our website:
www.akc.org.
Purpose
Request and submit a Special Litter Registration Application instead of this form.
Litters Mated
Abroad
Request a Multiple-Sire Litter Registration Application and use a Multiple-Sire Litter Registration Application form to register each
litter. The Multiple-Sire Litter Registration Application cover page contains details on fees and required DNA certication.
Multiple-Sired
Litters
Expedited Handling ($35.00)
Expedited Handling available in the Continental U.S. only.
Allow 3-5 business days for delivery.
Late Fee ($65.00)
Required if it has been more than 6 months since the litter was whelped.
Fees
Processing fees are nonrefundable and all fees are subject to change without notice. A litter application fee always comprises
two parts: a processing fee ($25.00) plus a puppy fee (multiply the number of puppies by $2.00).
Additional fees are determined by circumstance:
AKC Marketplace ($35.00)
List your litter on AKC’s website for 90 days. By listing your litter you agree to provide the new owner(s) with the AKC individual
registration application. This program is designed to assist breeders with selling puppies directly to puppy buyers. The AKC
reserves the right to correct or cancel at will the listing of this litter. Any information that is added to the listing may only concern
the specic litter listed. Some listing restrictions may apply. The listing fee will be refunded if the litter is unregisterable.
Full refunds are offered within 7 days of original purchase. Otherwise it is not refundable. To receive a refund contact
AKC Customer Service at the number below. For more information, go to marketplace.akc.org.
Please note: In order to receive the instructions for your new Marketplace listing, an email address must be provided.
Note: If paying by check or money order, make payable to: The American Kennel Club.
Official AKC Litter Certificate ($25.00)
The Ofcial AKC Litter Certicate veries that a litter is ofcially registered with the AKC. This document, which is offered on
premium stock with an elegant color heading and AKC seal, contains basic litter information with a three-generation pedigree
contained in the body. The pedigree ends with the current litter (sire and dam) and contains no specic puppy information, AKC
titles, colors, DNA proles, CERF or OFA Certications. As the breeder, you will receive one frameable copy of the litter
certicate and additional copies for each puppy in the litter. The Litter Certicate Package is mailed separately.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Form 2: Litter Registration Application _ _

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 1 July 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document