Online Litter Registration

Breed of Dog: *

List Bloodline: (optional, please limit to 3 bloodlines))

Litter's Date of Birth: *

Sire's (Father) Information:

UCA Reg. Name of Sire: *

Sire's UCA Reg. #

Name of Owner of Sire: *

First

Last

Owner of Sire's Phone Number: *

Owner of Sire's Email:

Confirm Email

Owner of Sire's Address:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Dam's (Mother) Information:

UCA Reg. Name of Dam: *

Dam's UCA Reg. #

Dam / Litter Owner's Name: *

First

Last

Owner of Dam / Litter's Phone Number: *

Owner of Dam / Litter's Email:

Confirm Email

Dam / Litter Owner's Kennel Name:

Dam / Litter Owner's Website URL

Owner of Dam / Litter's Address:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Number of Live Males:

List Male Puppies Color / Markings: *

Example: 1. Red Brindle/White 2. Black/White 3. Brown/White.

Number of Live Females:

List Female Puppies Color / Markings: *

Example: 1. Red Brindle/White 2. Black/White 3. Brown/White.

Upload Photo of Each Puppy:

Required to Register the Litter

Pup #1 *

Pup #2

Pup #3

Pup #4

Pup #5

Pup #6

Pup #7

Pup #8

Pup #9

Pup #10

Pup #11

Pup #12

Sire's (Father) Information:

Dam's (Mother) Information:

Upload Photo of Each Puppy:

Purchase Options: