National New and Rare Breed Association  LITTER REGISTRATION
LITTER APPLICATION    PRINT - FILL OUT -  MAIL WITH $2.00 TO:
NNRBA
41 BODWELL ROAD
EAST HARTFORD, CT 06108-1520
Phone # 860-282-0363   E-mail nnrba@cox.net
BREED____________________________________  LITTER MUST BE REGISTERED BEFORE 6 months
                                                                                              OF AGE. BOTH PARENTS MUST BE REGISTERED
                                                                                              WITH THE NNRBA-FILL OUT BOTH PAGES
 Puppy registration applications will be sent to litter owner.
NNRBA REGISTERED KENNEL  NAME
( your kennel will remain on all your litters)
_____________________________________ 

LITTER OWNER NAME_______________________

ADDRESS__________________________________

CITY_______________STATE______ZIP_________

PHONE#___________________________________

DATE BORN___________DATE BRED___________

NUMBER  IN LITTER_________________________

MALES______________FEMALES______________

Natural Breeding _____Yes_____No 

Artificial Insemination_____Yes_____No

 SIRE'S NAME____________________________

NNRBA REG#_____________________________

DOG'S COLOR____________________________
  

DOG'S PATTERNS/MARKINGS 
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DAM'S NAME___________________________

NNRBA  REG#____________________________

DAM'S COLOR___________________________
  

DAM'S PATTERNS/MARKINGS 
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We the undersigned, state that this information on the above breeding and bloodlines is true to the best of our knowledge. To produce above litter, proper care was taken to insure a true breeding of these dogs.

Owner of Sire____________________________________Address______________________________

City_____________________________________________State______________Zip_______________

Phone#________________________________Signature_______________________________________

Owner of Dam_________________________________Address_________________________________

City_____________________________________________State______________Zip______________

Phone#________________________________Signature______________________________________
 
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GIVE A BRIEF DESCRIPTION OF EACH PUPPY BORN
SEX
COAT COLOR
MARKINGS/PATTERNS
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