IABCA Registration Form
Please DO NOT use capslock. ALL CAPS are NOT allowed.
Email address
Armband or Catalog #
(from a previous show, if available)
Your answer
Breed
Your answer
Variety
If applicable
Your answer
Dog's Full Registered Name
Your answer
Dog's Call Name or Nickname
Your answer
Current Registration #
Your answer
Club (IABCA,AKC,FCI, Other)
Your answer
Sex
Date of Birth
MM
/
DD
/
YYYY
Color
Your answer
Breeder(s)
Your answer
Breeder's Location
General location is acceptable, ie. which state?)
Your answer
Owner's Name(s)
Your answer
Owner's Address
Mailing Address
Your answer
Owner's City
Your answer
Owner's State
Owner's Zipcode
Your answer
Owner's Phone #
(digits only ie: 5035551212)
Your answer
Sire 1 Name
See the PEDIGREE CHART in the orange box on the right if needed.
Your answer
Sire 1 Reg #
If available
Your answer
Dam 2 Name
Your answer
Dam 2 Reg #
If available
Your answer
Sire 3 Name
Your answer
Sire 3 Reg #
If available
Your answer
Dam 4 Name
Your answer
Dam 4 Reg #
If available
Your answer
Sire 5 Name
Your answer
Sire 5 Reg #
If available
Your answer
Dam 6 Name
Your answer
Dam 6 Reg #
If available
Your answer
Sire 7 Name
Your answer
Sire 7 Reg #
If available
Your answer
Dam 8 Name
Your answer
Dam 8 Reg #
If available
Your answer
Sire 9 Name
Your answer
Sire 9 Reg #
If available
Your answer
Dam 10 Name
Your answer
Dam 10 Reg #
If available
Your answer
Sire 11 Name
Your answer
Sire 11 Reg #
If available
Your answer
Dam 12 Name
Your answer
Dam 12 Reg #
If available
Your answer
Sire 13 Name
Your answer
Sire 13 Reg #
If available
Your answer
Dam 14 Name
Your answer
Dam 14 Reg #
If available
Your answer
Online Certification & Authorization : Ownership and Certification
Person who currently owns the dog and applies for registration must complete this section. I hereby certify that, to the best of my knowledge and belief, the information contained in this application is true and correct and that the ancestors are of the same breed as the dog sought to be registered. I agree to abide by IABCA of America Registry Rules and Regulations.
Required
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