Name Kennel Name * Street * City * State * - - Choose One - - AB AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NB NC ND NE NH NJ NL NM NS NT NU NV NY OH OK ON OR PA PE PR QC RI SC SD SK TN TX UT VA VT WA WI WV WY YT Zip Code * Cell Phone * Email * Website URL * ALCA Breeder Sponsor of New Member - Per ALCA Bylaws, an applicant for Membership must have the endorsement of one current member in good standing. Please indicate your sponsor's Full Name, Kennel Name and phone number. Endorsing Sponsor * Have you read and understand ALCA Code of Ethics Agree to ALCA Code of Ethics * Yes No Experience breeding dogs * How many litters have you bred * Years Breeding Australian Labradoodles * Are genetic tests done prior to breeding Yes No Genetic Testing Used * OFA Hips OFA Elbows CERF Von Willebrand Thyroid Blood Panel DNA Sizes of dogs you breed * Miniature Medium Standard Do you use breeding stock other than Australian Labradoodle Yes No Do you meet all ALCA Breeder Requirements Yes No Electronic Signature * Date *