Official CTCA Pre-Registration Form Part 2 (version 4.23.04)

(Please print out a copy of this form; this is not a form that can be filled-out on-line)

DATE SUBMITTED: ___________________________

BY BREEDER: _____________________________________________________

INSTRUCTIONS: Use one FORM 2 Form for each puppy. Complete all blanks (#1-21; if dog is a female, skip #9), then enclose this form with: a check for fees (total); two (2) color 4x6-inch photographs of the dog (please show dog in one lateral stacked view, one frontal, facial view), AND; the FORM 1 Form for this litter.

MAIL MATERIALS TO:

Dr. Robert Jay Russell, President
Coton de Tulear Club of America
PO Box 600
Windsor, NY 13865 USA

PLEASE PRINT OR TYPE

(1) DOG NAME: __________________________________________________

[NOTE: all official CTCA names must take the following form: "DOG NAME of KENNEL WHERE DOG WAS WHELPED," e.g., "Candide of Oakshade." In the event the whelping did not take place in a "kennel," then the whelping breeder's last name is used in place of the kennel name. You may, of course, call your dog any nick-name, but for shows, advertising, and official correspondence, the official name shall prevail. Note also that if the name you've chosen is already in use, the CTCA will append a roman numeral to the dog name, e.g., "Candide II of Oakshade."]

(2) GENDER: ______________________ (3) BIRTH DATE: ___________________

(4) COLOR: _____________________________

[Coton de Tulear colors are "WHITE," "BLACK AND WHITE," "TRI-COLOR," "HONEY BEAR" (born as largely brown/black) or "BLACK" (almost all black).

(5) BITE: _______________________________

[Please describe bite as either "UNDERSHOT," "OVERSHOT," "PINCERS," or "SCISSORS." Undershot: lower incisors project in front of uppers; overshot: lower incisors situated some distance behind and out of contact with upper incisors; pincers: vise-like bite in which horizontal surface of upper and lower incisors meet edge-to-edge; scissors: outer surface of lower incisors engage with inner surface of upper incisors when the jaw is shut.]

(6) NOSE: ______________________________

[Please describe nose pigmentation as either "BLACK," "BROWN," "PINK" or "PIED" -- spotted.]

(7) EYE COLOR: ______________________________

[DARK BROWN (normal) or BLUE or GRAY]

(8) EYE RINGS: ______________________________

[COMPLETELY PIGMENTED (normal) or NOT PIGMENTED or PIED]

(9) TAIL: _______________________________

[Please describe conformation of tail as either usually held "STRAIGHT," "SABRE" or "CURLED" over back.]

(10) MALE GENITALS: _________________________

[Please describe as either "NORMAL" (both testes descended in scrotum), "UNILATERALLY CRYPTORCHID," (only one descended testicle) or "BILATERALLY CRYPTORCHID" (no testes in scrotum).]

(11) IS THIS COTON A POSSIBLE TALL VARIETY COTON? _________________

________________________________________________________________

(12) NOT BREEDABLE or POTENTIALLY BREEDABLE Quality:

________________________________________________________________

If this pup is classified "Not Breedable" here, please tell us why:

________________________________________________________________

________________________________________________________________

(13) NEUTERED? _______________________ ("yes" or "no" or "will be")

(14) DATE PURCHASED: _______________

(15) PRICE SOLD: ___________________

(16) BUYER/OWNER:

name[s]: _________________________________________________________

(kennel name: ________________________________________________________)

address: _________________________________________________________

city: _________________________________________________________

state & zip: _________________________________________________________

country: _________________________________________________________

telephone1: _(_______)_______________________________________________

telephone2: _(_______)_______________________________________________

Fax: _(_______)_______________________________________________

email: _________________________________________________________

 

I hereby certify that the information I have provided on this form is correct. Further, to the best of my ability, I will report changes and corrections to the Secretary of the Coton de Tulear Club of America.

(17)

________________________________________________________________

(Breeder's Signature and date)

NOTE: ONLY THE BREEDER OF THIS LITTER CAN SUBMIT THIS APPLICATION


To return to The Coton News & Information Network's registration instructions, please click on: How To Register Your Litter (where you can access and print FORM 1).


Title and contents of The Coton de Tulear News & Information Network © 1996-2004, the Coton de Tulear Club of America, all rights reserved. Celebrating the CTCA's 30th Anniversary in 2006.