Biewer Breed International Registry
“Dedicated to Honesty and Excellence”

Single Foreign Dog Registration Application:  Fee: $15 per dog  
                                                           $10 for BBCI members

Fee for 4 generation pedigree:  $25 per dog, $15 for members of the BBCI

Owners Last Name: ________________________ First Name:  ___________________

Kennel Name: ___________________________ Website: _______________________

Address: ________________________ City: _______________ State & zip: _________

Home phone: _________________________ E-mail: ___________________________

Co-Owners Last Name (if applicable):_____________________    First Name: ___________________
Kennel Name: ___________________________________   Website: __________________________
Address: _____________________ City: __________________ State & Zip code: ________________
Home phone: _________________________ E-mail: _______________________________________

When submitting an application, please include the following items:
•        A 3-5 generation pedigree, must be of German Origin (photo copy allowed)
•        Photocopy of DNA Profile Certificate (for full registration, show/breeding quality)
    Must be issued from MMI DNA Laboratory)
•        Fee for application made out to BBIR, Biewer Breed International Registry
•        Micro chip number or tattoo number
•        4 photos of dog in question:  1) Left side (full body view)
                                              2) Right side (full body view)
                                              3) Full face
                                              4) Top view

Please note:  All photographs, copies of the DNA certificates and pedigrees given to the BBIR shall be the sole property of
the BBIR and will not be reproduced or distributed in any way.  Photographs will not be returned.

Optional items that can be submitted with application:
•        A copy of your dog’s CERF and /or OFA form signed by the appropriate authority showing results.  Must be submitted
if you want the BBIR to list “Yes” under the CERF & OFA line.
•        Breeding restrictions (if applicable) or required use of kennel name on puppy(s) registration
•        Any new titles acquired since original registration, copies allowed.



Applicant Dog Information

Dogs Registered Name: _____________________________________________________________

Dogs current club and registration and number: __________________________________________

Chip or Tattoo Identification #: _______________________________________________________

Date of birth: ___________________________ Sex: M ________ F _______ Altered ____________

Breeders Name: ________________________________ Breeders Kennel Name: _______________

Sire’s Registered Name & Number: _____________________________________________________
                                             Date of Birth:__________________________________________

Dam’s Registered Name & Number: ____________________________________________________
                                               Date of Birth:__________________________________________
OFA Certification (knees) _________________________  CERF (eyes) _________________________

By signing, I (we) testify that all the data submitted above is correct.  I (we) understand that all information becomes the
property of the BBIR (Biewer Breed International Registry). The BBIR will do it’s utmost to verify all information submitted.  
The information provided is solely the applicant’s responsibility to be correct.  If the BBIR finds falsified records they are
entitled to all fees paid and no pedigree or registration shall be issued.  The information will be kept private, only for the
BBIR, and any other use shall require permission of the owner.  The BBIR will not be responsible for any pedigree
information that is prior to the BBIR’s registration date of the dog.


Signature of Owner: ___________________________________________________

Signature of Co-owner: _________________________________________________

Date: _______________________________________________________________



Mail to:  Biewer Breed International Registry
   c/o  Theresa Perry
   4571 Douglas Rd.
   Ida, Michigan   48140   USA  


    (Office Use Only)           #___________________________________________________                                       
© BIEWER BREED INTERNATIONAL
REGISTRY 2008
ALL RIGHTS RESERVED