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Online Single Dog Registration Application

This form is intended for registration of Non-UCA registered dogs or dual registration purposes only. If original United Canine Association paperwork has been issued, it must be mailed to the UCA Office accompanied by the payment and required photos. Thank you.
Please limit name to 25 characters.

Pedigree Information:

Required to complete the registration process.
All Single Dog Applications MUST be accompanied by at least 3 generations of pedigree information and a copy of the dog's registration certificate that shows ownership.
All Single Dog Applications MUST be accompanied by at least 3 generations of pedigree information and a copy of the dog's registration certificate that shows ownership.

Breeder's Information:

Owner's Information:

Please select one of the following: "and" requires both owner's signatures, "or" requires either signature.

Photos:

3 photos (2 profile shots & 1 frontal head shot) must accompany this application.

Registration Options:

$ 0.00
Select Type of Card
3 digits on the back of the card
Please Sign Above.
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