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.

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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.
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.
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:
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.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.

Registration Options:

Registration Choices:
Pedigree Choices:
Additional Choices:
Processing and Mailing Options:
"Processing" refers to the in-house processing time. "Processing" does not apply to the delivery time required by the postal service.
$0.00
Select Type of Card
Name on the Debit / Credit Card:
3 digits on the back of the card
Clear Signature
Please Sign Above.