
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
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