Juliana Pig Association and Registry

Adult Pig Registration Application
for pigs older than 3 years old

Pigs Name

This is a required question

Date of Birth

Sex

Male
Female

This is a required question

Coat Color

This is a required question

Spot Color

This is a required question

Unique Markings

socks, blaze, full colored head, etc

This is a required question

Height

measured from level floor to top of shoulder (in inches)

This is a required question

Length

measured from chest to base of tail (in inches)

This is a required question

Date measurements were taken

Identification marks

tatoo, ear tags, microchip number, etc

This is a required question

Current Owners Name

This is a required question

Current Owners Farm Name

This is a required question

Current Owners Address

This is a required question

Current Owners Phone Number

Whichever number is most likely to be answered

This is a required question

Current Owners E-Mail Address

Must be a valid email address

This is a required question

Did the current owner produce this pig?

Yes
No, this pig was purchased

This is a required question

Was the pig sold with breeding rights?

Yes
No

This is a required question

Original Breeders Name

This is a required question

Original Breeders Farm Name

This is a required question

Original Breeders Address

This is a required question

Original Breeders Phone Number

This is a required question

Original Breeders E-Mail Address

Must be a valid email address

This is a required question