AMERICAN BULLY REGISTRY
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Litter Registration Application Form
American Bully Registry | 30141 Antelope Rd. Suite D. #763, Menifee, CA 92584
Owner of Litter and Dam
*
Email
*
Phone
*
Code
Address
*
No, my address has not changed
Yes, my address has changed
Co-Owner
NO COOWNER
HAS COOWNER
Dam Name
*
Must use full official name.
Dam ABR Registration #
*
Type “Pending” if Standard Registration has already been submitted. Please submit that first if it hasn’t.
Breed
*
Sub-Breed
Sire Name
*
Must use full official name
Sire ABR Registration #
*
Type “Pending” if Standard Registration has already been submitted. Please submit that first if it hasn’t.
Breed
*
Sub-Breed
Sire Owner Name
*
Email
*
Phone
*
Code
Breed of Litter
*
Sub-Breed of Litter
Breeding Date
*
Day
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Year
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1973
Date of Birth
*
Day
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31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
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1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
Number of Males
*
Number of Females
*
Owner Signature
*
clear
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