Online Single Dog Registration / Dual Registration Application

***(This form is “NOT” intended to be used when your dog has a Temporary Puppy Registration Certificate)***
Please complete the -Submission of Temporary Puppy Registration for Permanent Registration Form-

This form is intended for single and dual registration purposes. This form is intended for registration of Non-IOEBA registered dogs or dual registration purposes only.
If IOEBA paperwork has been issued and is now LOST please complete the “Duplicate Registration Certificate Application”.

Select Breed of Dog to be Registered:
Please limit name to 25 characters.
Sex:
Refer to the IOEBA Color Chart if needed.

Pedigree Information:

Required to complete the registration process.
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All Single Dog Applications MUST be accompanied by at least 3 generations of pedigree information and a copy of the dog's registration certificate that shows ownership.
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All Single Dog Applications MUST be accompanied by at least 3 generations of pedigree information and a copy of the dog's registration certificate that shows ownership.

Breeder's Information:

Name of Breeder:
Breeder's Address:

Owner's Information:

Name of Owner:
Name of Co-Owner: (optional)
Co-Owner - Type of ownership (optional)
Please select one of the following: "and" requires both owner's signatures, "or" requires either signature.
Owner's Email:
Owner's Address:

Photos:

3 photos (2 profile shots & 1 frontal head shot) must accompany this application.
Drag & Drop Files, Choose Files to Upload
Drag & Drop Files, Choose Files to Upload
Drag & Drop Files, Choose Files to Upload
Drag & Drop Files, Choose Files to Upload

Registration Options:

Registration Choices:
Pedigree Choices:
Processing Time Options:
"Processing" refers to the in-house processing time. "Processing" does not apply to the delivery time required by the Mailing Service.
Mailing / Shipping Options:
Shipping Services Discloser:
Shipping Services Disclosure IOEBA is not the direct shipper of FEDEX services. Therefore IOEBA is not responsible for delays and/or lost packages once it leaves the IOEBA Office. I understand that I must contact FEDEX directly in order to initiate a claim on packages. This disclosure includes inclimate weather, acts of nature, acts of God, but is not limited to other FEDEX disclosures found on their website directly.
Additional Choices:
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