Puppy Registration Form

Puppy Registration Form

Provide owner and breeder details, puppy and pedigree information, upload supporting documents, and complete declarations and signatures.
Registration Pathway
Current Owner Information
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Breeder Information
Breeder Full Name

First NameLast Name
Breeder Email Address
example@example.com
Breeder Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Breeder Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Individual Puppy Identification & Documentation

Complete these details for one puppy, then upload all supporting records and identification photos labeled with the puppy number/name.
Litter Registration Number
Puppy Registered Name
Puppy Call Name
Sex
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Color/Coat
Markings
Microchip or Tattoo ID
Sire Information
Sire Registered Name
Sire Registration Number
Dam Information
Dam Registered Name
Dam Registration Number
Pedigree Information
Transfer/Sale Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Label every puppy photo and document upload with the puppy’s number and registered name for clear record matching.
Total Litter Size
Puppy Number / Unique Litter Identifier
Tattoo Number (if applicable)
Permanent Record Documentation

Upload and record permanent identification and supporting documents for the puppy, litter, sire, and dam.
Pedigree Upload

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Litter Registration Number
Litter Registration Certificate

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Litter Documentation Uploads

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Sire Registration Documents

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Dam Registration Documents

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Sire Microchip or Tattoo Number
Dam Microchip or Tattoo Number
Supporting Identification Records

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Microchip Number
Microchip Certificate or Verification

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Standing / Full-Body Photo

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Left-Side Photo

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Right-Side Photo

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Head / Face Photo

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Additional Photos

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Health Records

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Veterinary Records

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Vaccination Records

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Health-Testing Results

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DNA Testing

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Bill of Sale / Ownership Documentation

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Breeder Documentation

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Other Supporting Records

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Declarations & Agreements
Supporting Document Uploads
Bill of Sale

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Pedigree Certificate

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Microchip Record

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Puppy Photos

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Health Records

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Registration / Fee Information
Registration Fee
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APCA Puppy Registration Fee
Required fee for registering your puppy.

$50.00

Total

$0.00
Electronic Signatures
Owner Signature
Signature Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Breeder Signature (if applicable)
Breeder Signature Date (if applicable)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Puppy Registration Form

Current Owner Information

Breeder Information

Individual Puppy Identification & Documentation

Sire Information

Dam Information

Permanent Record Documentation

Declarations & Agreements

Supporting Document Uploads

Registration / Fee Information

Registration Fee*

Electronic Signatures

Registration Fee