Litter Registration Application

Owner of Dam: ALCA Membership No.

Kennel Name: Street: City: State:         Zip:

Phone:  Cell:

E-mail:

Website (URL):

Litter Information:

Date of Birth:

Number living males:

Number living females:

Total Puppies in Litter:

Sire:  ALCA Registration Number of Sire:

Dam:  ALCA Registration Number of Dam:                 

 Owner of Sire: If owner of Sire is not owner of Dam, complete the following:

Name:  Address:

City: 

State:     Zip:

Phone

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.

Electronic Signature/Date Litter Registration fee is $20.00