Litter Registration Application

Celebrate your puppy litter’s academic achievements with Honor Roll Frenchies; register them today!

Owner of Litter and Dam*

Phone

Street Address

Co-Owner?

Co-Owner Name (Must match Pedigree)

Phone

Street Address

Dam Name* Must use full official name

Dam Registration #*

Breed

Sire Name* Must use full official name

Sire Registration # *

Sire Breed

Sire Owner Name*

Phone

Breed of Litter

Breeding Date*

Date of Birth*

Slide Right to Add More Puppys.

Fee Schedule*

Price	Description	Total
37.99	BASIC REGISTRATION ONLY (INCLUDES PAPER APPLICATION FEE)	$37.99
53.99	BASIC REGISTRATION + SILVER PACKAGE	$53.99
66.99	BASIC REGISTRATION + GOLD PACKAGE	$66.99
54.99	BASIC REGISTRATION + REUNITE	$54.99
82.99	BASIC REGISTRATION + PLATINUM PACKAGE	$82.99
35.00	LATE FEE – OVER 12 MONTHS AFTER LITTER REGISTERED	$35.00
65.00	LATE FEE – OVER 24 MONTHS AFTER LITTER REGISTERED	$65.00
	Puppy’s
	Sub Total

Owner’s Signature*

Today’s Date