Biewer Yorkie Association
Litter Registration Application
YOUR Email
*
example@example.com
Correct Payment must be made immediately after submission. Failure to make payment will result in the need to resubmit application. The Litter Registration Number (*Dams Registration Number - Birth Date of Litter i.e. 751-3232-010121) MUST be included on payment submission. BYA is not responsible for non or improper payment submission. Allow 3-4 weeks for processing.
Make payment through "ZELLE" bank to bank to: americancanineregistry@aol.com or "Cash App" at $ACRdogs
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Your BYA Breeder Number:
Birth date of Litter:
*
/
Month
/
Day
Year
Number of Living Males:
*
Number of Living Females:
*
Name of BYA Sire:
*
Sire BYA Registration Number:
*
Name of BYA Dam:
*
Dam BYA Registration Number:
*
Pup #1 Identification: Must Select Gender, Coat Color, Nose Color and Eye Color. Puppies can have more than one Pattern.
*
Male
Female
Tri (* Must also pick a Color)
Piebald (* Must also pick a Color)
Belted (* Must also pick a Color)
Merle (*Must also pick a Color)
Black/Tan
Blue/Tan
Brown/Tan
Creme (Golden)
Black Nose
Brown Nose
Green/Gold Eyes
Dark Eyes
Other
Pup #1 Micro-Chip Number:
Pup #2 Identification: Must Select Gender, Coat Color, Nose Color and Eye Color. Puppies can have more than one Pattern.
Male
Female
Tri (* Must also pick a Color)
Piebald (* Must also pick a Color)
Belted (* Must also pick a Color)
Merle (* Must also pick a Color)
Black/Tan
Blue/Tan
Brown/Tan (*Must have a Brown nose)
Creme (Golden)
Black Nose
Brown Nose
Green/Gold Eyes
Dark Eyes
Other
Pup #2 Micro-Chip Number:
Pup #3 Identification: Must Select Gender, Coat Color, Nose Color and Eye Color. Puppies can have more than one Pattern.
Male
Female
Tri (* Must also pick a Color)
Piebald (* Must also pick a Color)
Belted (* Must also pick a Color)
Merle (* Must also pick a Color)
Black/Tan
Blue/Tan
Brown/Tan (*Must have a Brown Nose)
Creme (Golden)
Black Nose
Brown Nose
Green/Gold Eyes
Dark Eyes
Other
Pup #3 Micro-Chip Number:
Pup #4 Identification: Must Select Gender, Coat Color, Nose Color and Eye Color. Puppies can have more than one Pattern.
Male
Female
Tri (* Must also pick a Color)
Piebald (* Must also pick a Color)
Belted (* Must also pick a Color)
Merle (* Must also pick a Color)
Black/Tan
Blue/Tan
Brown/Tan (*Must have a Brown Nose)
Creme (Golden)
Black Nose
Brown Nose
Green/Gold Eyes
Dark Eyes
Other
Pup #4 Micro-Chip Number:
Pup #5 Identification: Must Select Gender, Coat Color, Nose Color and Eye Color. Puppies can have more than one Pattern.
Male
Female
Tri (* Must also pick a Color)
Piebald (* Must also pick a Color)
Belted (* Must also pick a Color)
Merle (* Must also pick a Color)
Black/Tan
Blue/Tan
Brown/Tan (*Must have a Brown Nose)
Creme (Golden)
Black Nose
Brown Nose
Green/Gold Eyes
Dark Eyes
Other
Pup #5 Micro-Chip Number:
Pup #6 Identification: Must Select Gender, Coat Color, Nose Color and Eye Color. Puppies can have more than one Pattern.
Male
Female
Tri (* Must also pick a Color)
Piebald (* Must also pick a Color)
Belted (* Must also pick a Color)
Merle (* Must also pick a Color)
Black/Tan
Blue/Tan
Brown/Tan (*Must have a Brown Nose)
Creme (Golden)
Black Nose
Brown Nose
Green/Gold Eyes
Dark Eyes
Other
Pup #6 Micro-Chip Number:
Pup #7 Identification: Must Select Gender, Coat Color, Nose Color and Eye Color. Puppies can have more than one Pattern.
Male
Female
Tri (* Must also pick a Color)
Piebald (* Must also pick a Color)
Belted (* Must also pick a Color)
Merle (* Must also pick a Color)
Black/Tan
Blue/Tan
Brown/Tan (*Must have a Brown Nose)
Creme (Golden)
Black Nose
Brown Nose
Green/Gold Eyes
Dark Eyes
Other
Pup #7 Micro-Chip Number:
Pup #8 Identification: Must Select Gender, Coat Color, Nose Color and Eye Color. Puppies can have more than one Pattern.
Male
Female
Tri (* Must also pick a Color)
Piebald (* Must also pick a Color)
Belted (* Must also pick a Color)
Merle (* Must also pick a Color)
Black/Tan
Blue/Tan
Brown/Tan (*Must have a Brown Nose)
Creme (Golden)
Black Nose
Brown Nose
Green/Gold Eyes
Dark Eyes
Other
Pup #8 Micro-Chip Number:
Both Parents and ALL Pups have the REQUIRED Long Hair Coat?
*
Yes
No
Breeder/Person submitting this application agrees to abide by all of the Rules, Regulations and Guidelines as set forth in the BYA Handbook. Submitter is aware this is a legal and binding application to which all information is hereby sworn to be accurate and true.
Agree
Do Not Agree
Date of Submission:
*
/
Month
/
Day
Year
Falsified Submission Date is grounds for Suspension/Banning.
Proper Payment must be submitted through "ZELLE" bank to bank transfer when using this form. Failure to send immediate and correct payment will result in non-issuance of papers and the need for you to resubmit.
"ZELLE ACCOUNT" send payment to: 870-648-8586 or "Cash App" at $ACRdogs
Submit
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