; INDIVIDUAL DOG REGISTRATION APPLICATION
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INDIVIDUAL DOG REGISTRATION APPLICATION

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  • pg 1
									                       North American
                       Miniature Australian Shepherd Club of the USA, Inc.
                            PO Box 141097, Broken Arrow, OK 74014-1097
                            Phone/Fax: 918-357-5844   e-mail: registrar@namascusa.com                           web: www.namascusa.com

           INDIVIDUAL DOG REGISTRATION APPLICATION
                      This application is only for dogs with no prior NAMASCUSA Registration
                  The following rules must be followed completely for this application to be accepted.
                               Print CLEARLY or type, use only blue or black ink.
Rules:
   1) An ASCA and/or AKC registered Australian Shepherd will not be registered as a Miniature Australian Shepherd unless it has
       an NSDR MA number.
   2) Either the sire and/or dam must be registered with NAMASCUSA, MASCA or NSDR as a Miniature Australian Shepherd,
       for the dog to be eligible for registration via an “IDR”.
   3) The dog/ puppy are not eligible to be registered using an IDR application if its litter is already registered with
       NAMASCUSA. If the litter is registered with NAMASCUSA, the dog/puppy must be registered using the “Yellow” litter
       registration individual dog application.
   4) If the dog or its parents are registered with a registry other than NAMASCUSA, enclose a copy of their registration
       certificate. The NSDR temporary registration letter is only accepted with copies of the parents registration certificates. An
       application to another registry will not be accepted as a registration certificate.
   5) A Breeders signature is required on all dogs with no prior registration with NAMASCUSA, MASCA, or NSDR.
   6) It is suggested that you use no more than 40 characters when naming the dog.
   7) Provide a copy of a 3-generation pedigree, complete with all dog’s registration numbers and registered names.
   8) Enclose three (3) color photos of the dog with the application. Full body view of the right side, left side and front.
   9) Once a dog is registered with NAMASCUSA, the registered name will not be changed, except as provided for by the
       Registry Rules and by Appeal to the NAMASCUSA Board of Directors. Correction to spelling or punctuation maybe made
       if requested by the owner of the dog within 60 days of certificate issue date and prior to any offspring being registered to said
       dog. The signature of the owner(s) must accompany the corrections. Punctuation or spelling errors made by the applicant
       require a change fee of $10. Errors made by the Registrar will be corrected at no charge. Return the original certificate to the
       registry with the corrections noted.
   10) Any dog whose registration application is denied may appeal to the NAMASCUSA Board of Directors.
   11) Any application for which all supporting documentation has not been supplied in a timely manner will be considered to be
       "incomplete" and will be returned to the applicant after 90 days.

Registration Fee:
           Up to 12 months of age - $10,  12-24 months of age - $20,     Over 24 months of age - $40
             Registration Fee must accompany the application. Fees are doubled for non-members.

 Make Check or Money Order payable in $USA to NAMASCUSA (A $25 fee will be charged for all returned checks)
       Mail to: NAMASCUSA Registry Office, PO Box 141097, Broken Arrow, OK 74014-1097
Payments by credit card & Paypal available with a 3% added charge for Domestic & 4% for International Email for a Paypal invoice: registrar@namascusa.com



Checklist:

                            Applicant to complete all information in Section A and B
                            Breeder to complete and sign Section C, if required
                            Kennel owner to complete and sign Section D, if required
                            Owner to complete and sign Section E
                            Attach copies of dog or parents registration certificates, as required
                            Attach a copy of a 3-generation pedigree
                            Include 3 color photos
                            Include payment of the fee - Doubled For Non-Members
                        North American
                        Miniature Australian Shepherd Club of the USA, Inc.
                             PO Box 141097, Broken Arrow, OK 74014-1097
                             Phone/Fax: 918-357-5844    e-mail: registrar@namascusa.com                          web: www.namascusa.com

            INDIVIDUAL DOG REGISTRATION APPLICATION
               PLEASE PRINT CLEARLY OR TYPE ALL INFORMATION, USE BLACK OR BLUE INK ONLY
SECTION A
____________________________________________________________________________________________________________
 Dog’s Registered Name                                                Permanent Identification Number (if available)

____________________________________________________________________________________________________________
 Current Registration Number               Registry                     Sex                   Date of Birth

____________________________________________________________________________________________________________
 Body Color: Blue Merle, Red Merle, Black or Red                               Trim Color: White and/or Copper

____________________________________________________________________________________________________________
 Eye Color:   Left           Right                           Tail: Docked, Natural Bob, Natural Bob/Docked or Full

____________________________________________________________________________________________________________
  Registered Name of Sire                         Registration Number                 Registry

____________________________________________________________________________________________________________
 Registered Name of Dam                           Registration Number                 Registry

SECTION B
________________________________________________________________________________________
 Name of Breeder(s)                                Street Address                           City                State                Zip Code

_________________________                          _________________________________________________________
Date New Owner Acquired Dog                                  Phone Number                                       e-mail Address

SECTION C                               *** This dog is not to be bred when this box is checked                                ***
If this dog has no prior registration with NAMASCUSA, MASCA or NSDR, the Breeder must sign section C.
________________________________________________________________________________________
Breeders Signature                                           Breeder Co-Owners Signature                                             Date

SECTION D
I hereby give my permission and require the use of my kennel name _________________________________ in naming this dog.
_______________________________________________________________________________________
Kennel Owners Signature                                      Kennel Co-Owners Signature                                          Date

SECTION E
This application only constitutes consideration for registration and does not guarantee registration with the NAMASCUSA. I (we) certify that all
data submitted on and with this application, is correct. I (we) understand that all applications become the property of NAMASCUSA. If an
application is falsified or denied, no registration will be issued and the fees will not be refunded. I (we) further understand that as an owner of a
NAMASCUSA registered dog, I (we) agree to abide by the NAMASCUSA Registry Rules and Regulations, Bylaws and Code of Ethics.

__________________________________________________________________________________________
 Name of Owner/Co-Owner                                                          Phone Number                             e-mail Address

__________________________________________________________________________________________
 Street Address                                    City                State                Zip Code           NAMASCUSA Membership #

__________________________________________________________________________________________
Owners Signature                                Co-Owners Signature                                                       Date
                                    All incomplete applications will be returned to owners after 90 days                                           Rev 2/09

								
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