Online Single Dog Registration Application This form is intended for registration of Non-IOEBA registered dogs or dual registration purposes only. If original IOEBA paperwork has been issued, it must be mailed to the IOEBA Office accompanied by the payment and required photos. Thank you. Please enable JavaScript in your browser to complete this form.Select Breed of Dog to be Registered: *Alapaha Blue Blood BulldogAmerican BulldogAmerican BullyAmerican Pit Bull TerrierBantam BulldoggeBanter BulldoggeCampeiro BulldogEnglish BulldogFrench BulldogOlde Boston BulldoggeOlde English BulldoggeValley BulldogName of Dog to be Registered: *Please limit name to 25 characters.Bloodline (if desired):Date of Birth: *Sex: *MaleFemaleColor / Markings: *Refer to the IOEBA Color Chart if needed.Microchip Number / Tattoo:Pedigree Information:Required to complete the registration process.Name of Sire (Father): *Sire's Reg. Number:Breed of Sire: *Name of Dam: *Dam's Reg. Number:Breed of Dam: *Copy of Pedigree: * Click or drag a file to this area to upload. 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.Copy of Certificate: * Click or drag a file to this area to upload. 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: *FirstLastBreeder's Phone Number: Breeder's Address:Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryOwner's Information:Name of Owner: *FirstLastName of Co-Owner: (optional)FirstLastCo-Owner - Type of ownership (optional)AndOrPlease select one of the following: "and" requires both owner's signatures, "or" requires either signature.Owner's Phone Number: *Co-Owner's Phone Number:Owner's Email: *EmailConfirm EmailOwner's Address: *Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPhotos: 3 photos (2 profile shots & 1 frontal head shot) must accompany this application. #1 Photo - Front: * Click or drag a file to this area to upload. #2 Photo - Left: * Click or drag a file to this area to upload. #3 Photo - Right: * Click or drag a file to this area to upload. #4 Photo - Optional: Click or drag a file to this area to upload. CommentsRegistration Options:Registration Choices: *New IOEBA Registration - Includes Certified Registration Certificate.....$30New IOEBA Registration with Photo - Includes Certified Registration Certificate with photo......$45Dual UCA Registration - with the United Canine Association (UCAdogs.com)......$25Dual UCA Registration with Photo - United Canine Association Registration Certificate with Photo......$40Laminate IOEBA Registration Certificate (plus registration fee)......$8Laminate UCA Registration Certificate (plus registration fee)......$8Pedigree Choices:3 Generation Pedigree....$304 Generation Pedigree....$405 Generation Pedigree....$503 Generation Pedigree w/ Photo Insert (please provide photo)......$404 Generation Pedigree w/ Photo Insert (please provide photo)......$505 Generation Pedigree w/ Photo Insert (please provide photo)......$60Laminate Pedigree (plus pedigree fee)......$8Additional Choices:IOEBA Auto Window Decal......$10Pet Photo Identification Card.....$12Conformation Show Entry Card....$12Processing and Mailing Options:Standard Processing......$0RUSH Processing - (5 business days)......$15SUPER RUSH Processing (3 business days)......$20Standard Mailing......$0Overseas/Canadian Mailing......$5"Processing" refers to the in-house processing time. "Processing" does not apply to the delivery time required by the postal service.Total$0.00Debit / Credit Card For PaymentMaster CardVisaDiscoverSelect Type of CardName on the Debit / Credit Card: *FirstLastCredit Card Number: *Expiration Date: *Card Verification Code (CVC): *3 digits on the back of the cardPhoneSubmit