Official CTCA Pre-Registration FormPart 2 (version 4.23.04)

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

DATE SUBMITTED: ___________________________

BY BREEDER: _____________________________________________________

INSTRUCTIONS: Use one FORM 2 Form for each puppy. Completeall blanks (#1-21; if dog is a female, skip #9), then enclose thisform with: a check for fees (total); two (2) color 4x6-inchphotographs of the dog (please show dog in one lateral stacked view,one frontal, facial view), AND; the FORM1 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 followingform: "DOG NAME of KENNEL WHERE DOG WAS WHELPED," e.g., "Candide ofOakshade." In the event the whelping did not take place in a"kennel," then the whelping breeder's last name is used in place ofthe kennel name. You may, of course, call your dog any nick-name, butfor shows, advertising, and official correspondence, the officialname shall prevail. Note also that if the name you've chosen isalready 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 ANDWHITE," "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 incisorsproject in front of uppers; overshot: lower incisors situated somedistance behind and out of contact with upper incisors; pincers:vise-like bite in which horizontal surface of upper and lowerincisors meet edge-to-edge; scissors: outer surface of lower incisorsengage 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 orPIED]

(9) TAIL: _______________________________

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

(10) MALE GENITALS: _________________________

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

(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 uswhy:

________________________________________________________________

________________________________________________________________

(13) NEUTERED? _______________________ ("yes" or "no" or "willbe")

(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 formis correct. Further, to the best of my ability, I will report changesand corrections to the Secretary of the Coton de Tulear Club ofAmerica.

(17)

________________________________________________________________

(Breeder's Signature and date)

NOTE: ONLY THE BREEDER OF THISLITTER CAN SUBMIT THIS APPLICATION


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


Title and contents of The Coton de Tulear News & InformationNetwork © 1996-2004, the Coton deTulear Club of America, all rights reserved. Celebrating the CTCA's30th Anniversary in 2006.