American Camellia Society - New Cultivar Registration Form

Cultivar Originated and Propagated By
Originator same as applicant *

Originator is same as Applicant Originator is not the same as Applicant - Fill in fields below
Originator Name
Originator City and State
Propagator Status *

Propagator is same as Applicant Propagator is same as Originator Propagator is not the same as the Applicant or the Originator
Propagator Name
Propagator City and State

Parent(s) Information
Type of Cultivar Introduction - Choose One *

Chance Seedling - Parents Unknown Chance Seedling - Seed Parent Known Hybrid Seedling - Both Parents Known Sport or Mutant Introduction Variegated Form of an Existing Cultivar
Information for Chance or Hybrid Seedlings
Seed Parent
Pollen Parent
Species with Cultivar Nam
Age of Seedling
Year Seedling First Bloomed
Information for Sports or Mutants
Sport or Mutant Parent Name
Year Sport or Mutant First Observed
Number of Years Flowered on Propagation
Has it bloomed 100% true during a period of at least four years?

Yes No
Number of Different Plants Sport or Mutant Bloomed On
Information for Variegated Cultivars
Non-Variegated Cultivar Name
Year Variegated Cultivar First Observed

Other Requirements
Name of First Attesting Judge *
First Judge - What Makes this Cultivar unique enough to be registered? *
Examples could be flower grows better, has better form, color is improved, stamens stay yellow longer, etc.
Name of Second Attesting Judge *
Second Judge - What Makes this Cultivar unique enough to be registered? *
Examples could be flower grows better, has better form, color is improved, stamens stay yellow longer, etc.
Award(s) in ACS Cooperative Shows

Color Photographs
Top View Photograph

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Maximum of 10 MB file Cancel of
Side View Photograph

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Maximum of 10 MB file Cancel of
Growth Habit Photograph

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Maximum of 10 MB file Cancel of
Photograph with Top View and Measuring Device

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Maximum of 10 MB file Cancel of
Additional Cultivar Photograph (optional)

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Maximum of 10 MB file Cancel of
Photographs to be sent on CD/DVD or thumb drive by mail OR Cultivar Name Permission Form - choose appropriate box or boxes below

Mailing CD/DVD with high quality photos Mailing Thumb Drive with high quality photos Cultivar Name Permission Form on CD/DVD - Can be with photos Cultivar Name Permission Form on Thumb Drive - Can be with photos Cultivar Name Permission Form by USPS Mail
Cultivar Name Permission Form

Browse Files
This should normally be a pdf or Word file Cancel of
After Submission ("Submit" below) you will automatically be taken to the ACS Payment Check-Out Page to complete your Cultivar Registration.

This above registration information will all be emailed to you - Please keep for your records
Should be Empty:

American Camellia Society - General New Cultivar Registration Information