ACC Litter Registration

Choose Option A or Option B

Option A:  Breeder agrees to register all of their puppies in this litter and will provide new owners name and address to allow ACC to send the new owner a welcome letter, brochure and a Membership Application form. The registration fee is $5.00 per puppy in the litter and is due when the Litter Application form is submitted.
ACC will mail the breeder a Puppy Registration form for each puppy in the litter. Breeder mails the completed Puppy Registrations to ACC. Breeder will be sent a Pedigree for each Pet/Companion puppy in the litter, which Breeder will provide to the new owner upon proof of spay/neuter.
Breeder will be sent a Provisional/Show Application form to give to the owner of the Provisional/Show puppy. Provisional/Show applications are filled out by the new owner and mailed to ACC with a $30.00 fee. A Provisional/Show Pedigree will be sent to the owner along with instructions on how to exchange the Provisional/Show Pedigree for a Breedable Pedigree after health testing is complete.

Option B:  Breeder agrees to provide new Coton owners with an ACC welcome letter, ACC brochure and ACC Membership Application form but declines to provide puppy owner contact information to the ACC. The litter registration fee is $25.00 and is due when the litter registration is submitted.
Individual registration fees per puppy will apply.

Name

Address

City & State

Zip Code

Telephone

Email

Web site

Litter Date of Birth:

Place of Birth / Whelping:

Total Number of Puppies Born:

Number of Male Puppies:

Number of Female Puppies:

Number Surviving at time of Application:

Color of Puppies:

Sire's Registered name:

Sire's ACC Breedable Registration Number:

Sire's CERF number and date of CERF:

Owner of Sire on Date of Mating:

By checking this box I signify that I am the owner of this Sire at the time of mating.

By checking this box I certify that I was not the Owner of the Sire of this litter at the time of mating. I agree to have the owner of the Sire email authorization for the registration of this litter. Authorization email will be sent to Registrar@AmericanCotonClub.com

Registered Name of Dam:

Dam's ACC Breedable Registration number:

Dam's CERF number and date of CERF:

By checking this box I signify that I am the owner of this Dam on the date of birth of this litter.

By checking this box I certify that this Dam was not mated to any other dog during her season.

Owner of Dam on Date of Mating:
BY TYPING MY NAME IN THE ABOVE BOX I AM PROVIDING MY VIRTUAL SIGNATURE AND
CERTIFYING THAT THE INFORMATION PROVIDED ON THIS APPLICATION IS TRUE AND CORRECT.

Litter Registration Application must include current OFA eye examination, or European equivalent (within the previous 24 months) certification numbers for the Sire and Dam as found on the OFA web site at http://www.offa.org

Sire and Dam must meet ACC health testing criteria to be eligible for ACC litter registration.