Owner of Litter
*
ALCA Membership No.
*
Kennel Name
*
Street
*
City
*
State
*
Zip Code
*
Phone
*
Email
*
Website URL
*
Litter Date of Birth
*
Number of Living Males
*
Number of Living Females
*
Total Puppies In Litter
*
Size
*
Mini
Med
Standard
Sire
*
Sire ALCA Registration Number
*
Dam
*
Dam ALCA Registration Number
*
Owner of Sire if not owner of Litter
Kennel
I (we) certify that the information given on this application is true and accurate; that the identified Sire and the identified Dam were mated and that this Dam was not mated to any other dog during her season; resulting litter meets eligibility requirements for registration with the Australian Labradoodle Club of America
Signature of Litter Owner
*
Date
*