PO Box 1036 Antioch, TN Litter Registration

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1 / PO Box 1036 Antioch, TN Litter Registration Whether official or private held all known genealogy should be provided for research purposes. The more you provide us the more we can research and use to enhance your material. A fill-in pedigree template is available at the end of this form if needed. If submitting an official pedigree from another registry it MUST BE a photocopy or high quality digital image with all names and numbers included, complete and legible. If pictures of relatives are available they should also be included to be used to further enhance your material. ANY TIME an official pedigree from another registry is available a copy of the largest one available SHOULD be provided. Referred By: Check here if you wish to sign up as a Certified Kennel. If so a Kennel Certification Agreement will also need to be completed. The form is provided at the end of this form. If signing up as a Certified Kennel you can provide up to 4 options in the event a kennel name is already taken Owner Information: Please list only one primary owner. First Name: Last Name: Mail Address: Apt/Lot: City: State/Province: ZIP/Postal Code: Country (if outside USA): Phone: ( ) Cell Phone:( ) Your (s) if available is extremely important as it is used to set up your social account and a primary method of contact. Alt

2 The registration fee is based on the number of pups being registered. BOTH PARENTS MUST BE PUREBRED PIT BULLS. If both parents are not already APBR registered it is highly advised to use the Family Registration option instead. It is required that at least one parent be APBR registered and highly advised for both as only having one parent APBR registered can significantly impact how well your dog s Family is tracked over time. Litter Mother s Name: Mother s APBR# (if APBR registered) Litter Father s Name: Father s APBR# (if APBR registered) Litter Birth Date: Number Of Females: Number Of Males: Total number of females plus total number of males should equal total size of litter being registered. It is not required that pups be given formal names as the names are merely temporary until the new owners provide official permanent names of their own. If not naming the pups simply mark numbers in the boxes below. Example 1,2,3. If you do wish to name them this is also fine. Each pup will be provided their own individual temporary registration certificate that will include a transfer form on the back for the new owner to complete their pup in their own names. Once completed a new set of personalized material will be completed and sent to the new owner that will include their own personal information. Providing us with the most advanced genealogy information possible is important when such information is available as this allows us to develop the most advanced pedigree information possible for new owners. Pup 1 Name: Pup 2 Name: Pup 3 Name: Pup 4 Name: Pup 5 Name: Pup 6 Name: Pup 7 Name: Pup 8 Name: Pup 9 Name: Pup 10 Name: Pup 11 Name: Pup 12 Name: Pup 13 Name: Pup 14 Name: If more than 14 pups are being registered to this litter please indicate extra here: Discounted Fee Schedule: $12.50 Per Pup (First 8 pups - each pup after the 8th is FREE) Please mark the box indicating the type of payment arrangements being made. Online debit/credit, check Money Order PayPal OR Bitcoin If paying online you may use this link: OR If you have a mobile phone with QR code reader you may use the following QR code to the right. Your submission is your testimony to purity as American Pit Bull Terriers. Failure to follow this criteria for registration is considered fraud and punishable through civil and criminal litigation. You are additionally agreeing that if any litigation is necessary that you will be held liable for all damages and legal fees to all parties. Signature Date

3 Pedigree Format Guideline Mother Pedigree Template Sire (Father) 3. Dam (Mother) 8. SSS 9. SSD 10. SDS 11. SDD 12. DSS 13. DSD 14. DDS 15. DDD Etc. As Needed If unable to complete in the table provided you can alternatively provide the genealogy numerically using the pedigree format as a guide. 2. Sire 3. Dam Upon Completion this guide can be either uploaded as part of the registration process or can alternatively be ed to us directly at: APBRMemberExpress@yahoo.com 8+ Etc.

4 Pedigree Format Guideline Father Pedigree Template Sire (Father) 3. Dam (Mother) 8. SSS 9. SSD 10. SDS 11. SDD 12. DSS 13. DSD 14. DDS 15. DDD Etc. As Needed If unable to complete in the table provided you can alternatively provide the genealogy numerically using the pedigree format as a guide. 2. Sire 3. Dam Upon Completion this guide can be either uploaded as part of the registration process or can alternatively be ed to us directly at: APBRMemberExpress@yahoo.com 8+ Etc.

5 Kennel Certification Agreement As a representative of the the American Pit Bull Registry I hereby certify to adhere to the following principals and will work to represent the American Pit Bull Terrier and the American Pit Bull Registry in a positive manner. I do not condone nor will I promote the fighting, abuse, or neglectful treatment of Pits in my possession or that I may sell to third parties. I will work to promote the positives of Pit Bull ownership and will educate both the general public and those seeking to purchase Pit Bulls from me on the truths and positive attributes of the Pit Bull breed. I will maintain my Kennel to an adequate level of cleanliness to promote good health in both my adult and puppy populations. I will provide a healthy, adequate, and properly balanced diet for all Pits in my care. I will make sure that all Pits within my care are supplied with fresh, clean, and adequate amounts of water on a daily basis. I will provide proper restraint to all Pits in my care and make sure that noncompatible dogs are kept separated. I will provide safe, reliable, weather resistant housing to all Pits in my care. I will make sure all pups that I maintain are adequately socialized. I will provide my breeding bitches with adequate recovery and healing time between litters and register no more than 3 litters per bitch over any two year period. I will make sure that any inbreeding that takes place is separated by a minimum of four generations. I will offer reasonable warrantees on all puppies sold and work with previous owners in the re-homing of their Pit if such conditions arise. I will maintain adequate breeding records for all puppies bred through my Kennel. I will insure that all my Pit Bulls have regular and proper health care provided to include proper cleansing and grooming, regular de-worming, and properly administered shots relevant to their age. I will make sure that all my Pits receive the proper health care treatment by licensed professionals whenever there are health issues beyond my control. I will place as a first priority the improvement of the breed in each litter I seek to produce. I will be honest in all advertising and direct dealings with potential purchasers of my Pit Bulls that I hold for sale or transfer. I will make sure that all future owners have a copy of all necessary paperwork to complete or initiate their registration through the APBR and have copies of this Kennel Registration Certification request and subsequent Kennel Recognition Certificate. I will report fighting, abuse, and neglect conducted by other APBR members to the American Pit Bull Registry. I will not support any Breed Specific Legislation. I will work with other owners who may need assistance in the maintenance or re-homing efforts of their Pit Bulls where such assistance does not place undue burden on myself. I will work to be a positive representative for the Pit Bull breed at all times. With these assertions I hereby accept the responsibilities necessary in having my Kennel recognized by the American Pit Bull Registry. Signature Date

Owner Information: Please list only one primary owner. Last Name: Country (if outside USA):

Owner Information: Please list only one primary owner. Last Name: Country (if outside USA): www.pitbullregistry.com / www.americanpitbullregistry.com PO Box 1036 Antioch, TN 37011 Litter Plus Parent Registration Whether official or private held all known genealogy should be provided for research

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