


Single Dog Registration with Pedigree Standard $35 - Working Dog $20
Please be sure to add all working titles and certifications so they can be added to the registration. All registrations must include 4 photos (Front, both sides and rear) of said dog.
Name of Dog to be Registered_______________________________________________________(25 letter maximum) Date of Birth ______________________________________
Sex of Dog - MALE / FEMALE (circle one) Color ______________________________________ Markings ______________________________________
Owner ______________________________________ Phone ____-_____-______ Address ______________________________ City_____________ State______ Zip________
Breeder _____________________________________ Phone ____-_____-______ Address ______________________________ City_____________ State______ Zip________
Name of Sire____________________________________________ Registration # _____________________
Sires Parentage - Sire_________________________________ Dam_________________________________
Name of Dam____________________________________________ Registration # _____________________
Dams Parentage - Sire_________________________________ Dam_________________________________
Your Dogs Working Accomplishments (please attach copies of any title certificates)
Organization___________________________________ Title Earned___________________________________ Date Earned___________________________
Organization___________________________________ Title Earned___________________________________ Date Earned___________________________
Organization___________________________________ Title Earned___________________________________ Date Earned___________________________
Organization___________________________________ Title Earned___________________________________ Date Earned___________________________
Signature of Owner___________________________________________________ Date_____/_____/______ E-mail_________________________________________
Signature verifies that all information is correct and any indiscretion may revoke said dogs registration and future registrations by the owner.
All applications are property of The Banter Bulldogge Foundation. All applicants will be overseen by the discretion of The Banter Bulldogge Foundation. Filling of this application does not guarantee approval from The Banter Bulldogge Foundation. All information will remain confidential. All rights reserved. The B.B.F. P.O. Box 73 Bladensburg, Ohio 43005 © 2008 The Banter Bulldogge Foundation