North American Cockapoo Registry Online Litter/Puppy Registration

Please enter all information accurately, review before submitting; also please be sure to indicate how payment will be made and complete payment to the NACR. Incomplete applications cannot be processed; likewise applications cannot be processed until payment is received by the NACR office. Litter registration fee is $25.00 up to 3 weeks of age; $35.00  over three weeks of age at time of registration.  Thank you!

Kennel Name:

Date of Birth of Litter(mm/dd/yr):  Total number in litter:

    Puppy 1: Sex:   Color:     Puppy 2: Sex:    Color:

    Puppy 3: Sex:   Color:     Puppy 4: Sex:  Color:

    Puppy 5: Sex:  Color:      Puppy 6: Sex:  Color:

    Puppy 7: Sex:  Color:      Puppy 8: Sex:  Color:

        (If you need there are more than 8 pups in the litter please use the "notes" section at the bottom of the form for the remaining pups info)

    ++++++++++++++++++++++++++++++++++++++++++++++++++++++

Dam: Dam NACR#:

Dam Owner:

        Address:

        City:  State:  Zip:  Country:

        Phone:  Email:

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Sire: Sire NACR#:

If Sire Owner different from Dam Owner please complete the following information on the sire:

Sire Owner :

        Address:

        City: State:  Zip:   Country:

        Phone:  Email:

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Payment will be sent via (please indicate if PayPal or USPS Mail):

Notes to the NACR Office:

Click the button to send to:  

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Last updated 6/09  © 1999 - 2009, NACR. No portion of this site, graphics or photos may be used or reproduced without expressed permission of the North American Cockapoo Registry, except where indicated that one copy may be downloaded for personal use.
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