International Progressive Dog Breeders' Alliance
Individual Tranfer/Registration
Highest titles obtained to date_________________________________________________
Name of Dog_______________________________________________________________
Date of Birth___________/___________/___________    Sex _______________________
Organization with which Dog is Registered______________________________________
Reg. #________________________________ Breed_______________________________
Tatoo # ______________________________ Microchip ID # _______________________
Eye Color________________ Color____________________________________________
Sire______________________________________ Breed___________________________
Reg. #_______________________ Color ________________________________________
Dam _____________________________________ Breed ___________________________
Reg. #______________________  Color ________________________________________
Owner ____________________________________________________________________
Address ___________________________________________________________________
Phone #____________________  E-mail address _________________________________
IPDBA Kennel Name_____________________________IPDBA Kennel #_____________
Please check if   ____  Not For Breeding  or     ____  Not for Showing
Signature of owner_______________________________________________ 

Please contact the IPDBA Breed Charter for your breed to see if any special requirements are necessary, but generally, in order to register a Dog/Puppy with IPDBA, you will need to complete this form, and send with a copy of Registration paper and a copy of five generation pedigree complete with their reg. # of each dog, a color picture of the Dog/Puppy's right side, and copies of certification of any  titles obtained in other recognized registries to the office below. Transfer Fee is $15.00 USD
You may email jpeg. photo to
Make checks out to: IPDBA 
P.O. Box 311
Upton, KY 42784
Phone (270) 531-3662