| NRTR/DHTR REGISTERED KENNEL 
NAME ( your kennel will remain on all your litters)
 _____________________________________
 LITTER OWNER NAME_______________________
 ADDRESS__________________________________
 CITY_______________STATE______ZIP_________
 PHONE#___________________________________
 E-MAIL____________________________________
 DATE BORN___________DATE BRED___________
 NUMBER  IN LITTER_________________________
 MALES______________FEMALES______________
 Natural Breeding _____Yes_____No 
 Artificial Insemination_____Yes_____No | SIRE'S NAME____________________________ NRTR and or DHTR REG#_____________________________
 DOG'S COLOR____________________________
 DOG'S SIZE______________________________ 
 DAM'S NAME___________________________
| DOG'S PATTERNS/MARKINGS Circle ALL choices. (A) Tri color
 (B)  Patches of color (piebald)
 (C) solid
 (D) white blaze- collar-boots-chest
 | NRTR and or DHTR REG#____________________________
 DOG'S COLOR___________________________
 DOG'S SIZE______________________________ 
 
| DOG'S PATTERNS/MARKINGS Circle ALL choices. (A) Tri color
 (B) Patches of color (piebald)
 (C) solid
 (D) white blaze- collar-boots-chest
 |  |