Litter Registration Litter Registration Application Apply to register your litter Step 1 of 3 33% Breeder details This field is hidden when viewing the formParent Entry ID techName(Required) First Last Select Prefix(Required)– No Results –This field is hidden when viewing the formMDBA PrefixSelect Prefix– No Results –MDBA Member #Phone Number(Required)Email(Required) Address(Required) Street Address City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Postal address is different from home address? Yes No Postal Street Address or PO BoxPostal StatePostal SuburbPostal PostcodePostal CountryShire or Council area Litter details Details of the puppies in the litterBreed to Register(Required)AffenpinscherAfghan HoundAiredale TerrierAkitaAkita (Japanese)Alaskan MalamuteAmerican Hairless TerrierAmerican Staffordshire TerrierAnatolian Shepherd AustralasianAustralian BulldogCoban Kopegi (Anatolian Shepherd Dog)Australian Cattle DogAustralian CobberdogAustralian KelpieAustralian ShepherdAustralian Silky TerrierAustralian Stumpy Tail Cattle DogAustralian TerrierAzawakhBasenjiBasset fauve de BretagneBasset HoundBeagleBearded CollieBeauceron (Berger de Beauce)Bedlington TerrierBelgian Shepherd DogBelgian Shepherd Dog, MalinoisBelgian Shepherd Dog, TervuerenBergamasco ShepherdBernese Mountain DogBichon FriseBlack and Tan CoonhoundBloodhoundBluetick CoonhoundBoerboelsBologneseBorder CollieBorder TerrierBorzoiBosdog Biewer TerrierBoston TerrierBouvier des FlandresBoxerBracco ItalianoBriardBritish BulldogBrittanyBull TerrierBull Terrier (Miniature)BullmastiffCairn TerrierCanaan DogCanadian Eskimo DogCane CorsoCattle DogsCaucasian Shepherd DogCavalier King Charles SpanielCentral Asian Shepherd DogCesky TerrierChesapeake Bay RetrieverChihuahua, Long CoatChihuahua, Smooth CoatChinese Crested DogChow ChowCirneco Dell'EtnaClumber SpanielCocker SpanielCocker Spaniel (American)Collie (Rough)Collie (Smooth)Coton de TulearCurly Coated RetrieverDachshund (Miniature Long Haired)Dachshund (Miniature Smooth Haired)Dachshund (Miniature Wire Haired)Dachshund (Standard Smooth Haired)Dachshund (Standard Wire Haired)Dachshund Rabbit (Long Haired)Dachshund Rabbit (Smooth Haired)Dachshund Rabbit (Wire Haired)Dachshund (Standard Long Haired)DalmatianDandie Dinmont TerrierDeerhoundDobermannDogue de BordeauxDutch ShepherdEnglish SetterEnglish Springer SpanielEnglish Toy Terrier (Black and Tan)Estrela Mountain DogEurasiaField SpanielFinnish LapphundFinnish SpitzFlat Coated RetrieverFox Terrier (Smooth)Fox Terrier (Wire)FoxhoundFrench BulldogGerman Hunting TerrierGerman PinscherGerman Shepherd DogGerman Shepherd Dog (Long Coat)German Shorthaired PointerGerman SpitzGerman Wirehaired PointerGlen of Imaal TerrierGolden RetrieverGordon SetterGrand Basset Griffon VendeenGreat DaneGreat Swiss Mountain DogGreyhoundGriffon BruxelloisGroenendaelHamiltonstovareHarrierHavaneseHungarian ViszlaHungarian Wirehaired VizslaIbizan HoundIcelandic SheepdogIrish Red and White SetterIrish SetterIrish TerrierIrish water spanielIrish WolfhoundItalian GreyhoundItalian SpinoneJack Russell TerrierJapanese ChinJapanese SpitzKangal Shepherd DogKeeshondKerry Blue TerrierKing Charles SpanielKomondorKorelian Bear DogKuvaszLabrador RetrieverLaekenoisLagotto RomagnoloLaizhou HongLakeland TerrierLandseerLarge MunsterlanderLeonbergerLhasa ApsoLowchenMalteseManchester TerrierMaremma SheepdogMastiffMiniature PinscherMurray River RetrieverNeapolitan MastiffNewfoundlandNorfolk TerrierNorwegian BuhundNorwegian ElkhoundNorwich TerrierNova Scotia Duck Tolling RetrieverOld English SheepdogOtterhoundPapillonParson Russell TerrierPekingesePeruvian Hairless dog ( Medium)Peruvian Hairless dog (Large)Peruvian Hairless dog (Small)Petit Basset Griffon vendeenPharaoh HoundPointerPolish Lowland SheepdogPomeranianPoodle (Standard)Poodle (Toy)Poodle( Miniature)Portuguese Podengo (Large)Portuguese Podengo (Medium)Portuguese Podengo (Small)Portuguese Water DogPrague RatterPugPuliPumiPyrenean MastiffPyrenean Mountain DogPyrenean Sheepdog (Longhaired)Rhodesian RidgebackRottweilerRussian Black TerrierRussian ToySalukiSamoyedSchipperkeSchnauzerSchnauzer (Giant)Schnauzer (Miniature)Scottish TerrierSealyham TerrierShar PeiShetland SheepdogShiba InuShih TzuShikokuSiberian HuskySkye TerrierSloughiSoft Coated Wheaten TerrierSpanish MastiffSpanish Water DogSt BernardStaffordshire Bull TerrierSussex SpanielSwedish LapphundSwedish VallhundTatra Shepherd DogTenterfield TerrierTheodoreTibetan MastiffTibetan SpanielTibetan TerrierWallace BulldogWeimaraner (Longhaired)Weimaraner (Shorthaired)Welsh Corgi (Cardigan)Welsh Corgi (Pembroke)Welsh Springer SpanielWelsh TerrierWest Highland White TerrierWhippetWhite Swiss ShepherdWirehaired Slovakin PointerXoloitzcuintleYakutian LaikaYorkshire TerrierDate Litter Born(Required) DD slash MM slash YYYY This field is hidden when viewing the formBreed tech fieldDam and Sire Details of the parents of the litterDam's Name as shown on pedigree(Required)Dam's MDBA # or other registry #(Required)If the Dam is not registered with the MDBA upload their pedigree here Drop files here or Select files Accepted file types: jpg, pdf, png, Max. file size: 12 MB. Dam's DNA Certificate Drop files here or Select files Accepted file types: jpg, pdf, png, Max. file size: 12 MB. Dam Additional File Drop files here or Select files Accepted file types: jpg, pdf, png, Max. file size: 12 MB. Dam Additional File Drop files here or Select files Accepted file types: jpg, pdf, png, Max. file size: 12 MB. Are you the registered owner of the sire?YesNoArtificial Insemination (AI) You MUST upload a Stud Service Certificate OR AI Vet Report Stud Certificate or AI vet reportYou must upload those files if you are not the stud owner Drop files here or Select files Accepted file types: jpg, pdf, png, Max. file size: 12 MB. Sire's Name as shown on pedigree(Required)Sire's MDBA # or other registry #(Required)If the Sire is not registered with the MDBA upload their pedigree here Drop files here or Select files Accepted file types: jpg, pdf, png, Max. file size: 12 MB. Sire DNA Results Drop files here or Select files Accepted file types: jpg, pdf, png, Max. file size: 12 MB. Sire Additional File Drop files here or Select files Accepted file types: jpg, pdf, png, Max. file size: 12 MB. Sire Additional File Drop files here or Select files Accepted file types: jpg, pdf, png, Max. file size: 12 MB. Puppy and puppy buyer details Was the litter delivered by C Section?YesNoNumber of puppies born in this litter0123456789101112131415Number of puppies that did not survive0123456789101112131415Number of puppies being registered0123456789101112131415PuppiesPuppies added Row ID Puppy name 1st choice Puppy name 2nd choice Puppy microchip number Sex Puppy buyer name Email address Certificate in puppy buyers name? Actions Edit Delete There are no Puppies. Add Puppy Maximum number of puppies reached. Breeder declaration(Required) By ticking this box I certify that this information is true and correct and that I allow the information to be used for the production of MDBA pedigrees(Required) By ticking this box I understand that if any details are missing it may result in a delay of processing this application(Required) By ticking this box I understand that registration is not guaranteed and processing fees are non-refundable. All fees are subject to change without notice.CAPTCHAApplication StatusSubmittedApprovedInvoice SentInvoice PaidPostedOn HoldCancelledNoteTracking NumberEmailThis field is for validation purposes and should be left unchanged.
