BYA Online Puppy Registration Form

~~~~ Biewer Yorkie Association Online Puppy Registration ~~~~

Online Puppy Registration Application (*Used with Puppy I.D. CODE only)
Puppy I.D. CODE:*
Find it on the Puppy Application
Name of Pup:*
Name you wish to give pup up to 20 Characters/Spaces. (*No cuss words, Vulgar/Slang or Copyrighted words or Registered Kennel Names without permission.)
Date of Birth of Puppy:*
Gender of Pup*

MaleFemale
Color and Pattern of Pup: Choose ALL that apply: Must match application:*

Black/TanBlue/TanBrown/TanCremeTri (*white markings)Piebald (*spotted)Belted (*colored belly band)
Microchip Number:*
Required:
Sires Registered Name:*
Required - can be found on Puppy App
Sires Registration Number:*
Required - can be found on Puppy App
Dams Registered Name:*
Dams Registration Number:*
Breeder of Puppy:*
Breeders Phone Number:*
Name of New Owner:*
Person registering dog in their name:
Address of New Owner:*

Street Address

Phone Number:

CityState / Province

Postal / Zip Code
New Owners Email Address:
example@example.com
New Owners BYA I.D. Number
if you have been assigned one already
Applicant hereby acknowledges they are given Registration Privlidges based on the information submitted. Any false or incorrect information may result in nullification of papers and registration privlidges. Applicant furthurmore agrees to adhere to all Policy, Rules and Standards as outlined in the BYA online handbook. Applicant furthurmore acknowledges this dog meets breed standard and has no disqualifying faults.

Applicant acknowledges Payment must be made via "ZELLE" to 870-648-8586 within 2 hours. (*Must be Bank to Bank and NOT Debit Card). Submitted applications without payment will be discarded.
Applicant Agrees to All Terms and Conditions:*

I AGREE
Should be Empty:

~~~~ Biewer Yorkie Association Online Puppy Registration ~~~~

Biewer Yorkie Association Online Puppy Registration