POSTAL MONEY ORDER ONLY--NO CHECKS WILL BE ACCEPTED

Send this certificate and proper fees to:

Bull Breeds Coalition
Box 375
Marysville, KS 66508

Phone: (785) 562-6088......or......(785) 562-7864
 BBCR reserves the right to cancel or revoke registration of this dog if any statements on this certificate are found to be untrue.

 

Before any BBCR Certified Pedigrees will be issued for a litter, the Sire and Dam each must have a PHOTO and BBCR CERTIFIED PEDIGREE with an BBCR REGISTRATION NUMBER filed at our BBCR Headquarters, Marysville, KS. 66508

 A PHOTO OF YOUR DOG MUST BE ATTACHED TO THIS APPLICATION IN ORDER TO BE REGISTERED

Dog Registration Fee - $25.00     

Dog Information:

 

BREED   DOB  
COLOR   SEX  
SIRE   REG #  
DAM   REG #  

 

Breeder's Information:

 

FIRST   LAST  
ADDRESS  
CITY   STATE   ZIP   PHONE  

 New Owner's Information:

 

FIRST: ______________________________________  LAST: ______________________________________

ADDRESS: _______________________________________________________________________________

CITY: ________________________ STATE: _________ ZIP: __________ PHONE: (____)_______________

 

NAME OF REGISTERED ANIMAL:____________________________________________________________
                                                                                (name not to exceed 30 Letter/Spaces)


COLOR: _______________________________________________________      SEX:     Male / Female

I, ______________________________________, declare that to the best of my belief and knowledge, the information on this application is true and correct.

LIMITED REGISTRATION INFORMATION

 

The LIMITED REGISTRATION affirmation is a restriction, placed on an BBCR Certificate of Registration, which will NOT ALLOW the “Owner” to “PEDIGREE” any future LITTERS, with the BBCR, while it is in force.

 

Once the “OWNER” has met all the required conditions, as averred to on the back of the back of the original BBCR Certified Pedigree, titled: LIMITED REGISTRATION CONTRACT, the “BBCR Breeder” must sign a release, as shown below. The “BBCR Owner” must return the BBCR Certificate of Registration to the BBCR, with $15.00 U.S. Postal Money Order, so that the “LIMITED REGISTRATION” indicator can be upgraded from a “YES” to a “NO”, on the new Certificate of Registration.   

 

 

LIMITED REGISTRATION CONTRACT RELEASE

(print or type)

 

  1. This LIMITED REGISTRTION agreement is made this _____ day of _______________20____,

by and between___________________________________________________ The Breeder,

 

Breeder’s Address:_______________________________________________________, and

 

Purchaser/Owner:___________________________________________________________,

 

Purchaser/Owner’s Address:___________________________________________________

 

        2. The “Breeder” agrees to the following conditions:

 

 

 

 

  

 

      3. The “Purchaser/Buyer” agrees to the following conditions:                                         

 

 

 

 

  

    4. The conditions of the LIMITED REGISTRTION CONTRACT shall be binding on:Purchaser/Owner’s successors, heirs, and assigns.

 

    5. The LIMITED REGISTRTION CONTRACT shall be governed by laws of the Stated of ___________.

 

“Breeders” and “Owner” , intending to be legally bound, have signed this LIMITED REGISTATION          CONTRACT on date first indicated above.

 

________________________________________            _______________________________________

Breeder                                                                                Purchaser/Owner