Applying for*SELECT ONEROMROMXCandidate Border Collie InformationCandidate'sRegistered Name:Call NameGenderAKC #Date of BirthColorIf no longer living, Date of Death Required Breeder's Name* First Last Candidate's Sire Reg Name and AKC #:Reg NameAKC #Candidate's Dam Reg Name and AKC #:Reg NameAKC #Owner InformationNote: You may list co-owners, but give only one address to which the certificate will be sent.Primary Owner Name* First Last Co-owner Name 1 First Last Co-owner Name 2 First Last Primary Owner Street*Primary Owner City/State/Zip*Primary Owner Best Telephone*Primary Owner Email* Primary Best Way to Contact*SELECT ONEEmailTelephoneCandidate's Offspring InformationNOTE: If number of litters exceeds five, complete information for first five litters, submit form and see link on confirmation page for additional litters.LITTER 1: Whelp Date* Litter 1: Bred-To Name/AKC#*NameAKC #LITTER 1: List Registered Name, AKC #, and AKC Titles for each offspring in the litter.LITTER 2: Whelp Date Litter 2: Bred-To Name/AKC#NameAKC #LITTER 2: List Registered Name, AKC #, and AKC Titles for each offspring in the litter.LITTER 3: Whelp Date Litter 3: Bred-To Name/AKC#NameAKC #LITTER 3: List Registered Name, AKC #, and AKC Titles for each offspring in the litter.LITTER 4: Whelp Date Litter 4: Bred-To Name/AKC#NameAKC #LITTER 4: List Registered Name, AKC #, and AKC Titles for each offspring in the litter.LITTER 5: Whelp Date Litter 5: Bred-To Name/AKC#NameAKC #LITTER 5: List Registered Name, AKC #, and AKC Titles for each offspring in the litter.Additional LittersPlease list all additional litters beyond five in this box, including the same information as in the previous litters listed.
