International Progressive Dog Breeders' Alliance
Litter Registration
Date of Breeding_______/_______/______  Date of Birth________/________/_______ 


Breed______________________________
Breed______________________________


Sire _______________________________ 
Dam_______________________________ 


Reg.#______________________________
Reg.#______________________________


Owner’s Signature__________________________ 
Owner’s Signature__________________________ 


Address____________________________ 
Address____________________________ 


City______________State_____Zip_____
City______________State_____Zip_____


Phone_____________________________
Phone_____________________________


IPDBA Kennel Name ________________
IPDBA Kennel Number_______________


COLORSEX
COLORSEX


1._____________________   _______
6._____________________   _______


2._____________________   _______
7._____________________   _______


3._____________________   _______
8._____________________   _______


4._____________________   _______
9._____________________   _______

5._____________________   _______
10.____________________   _______
Submit this form completed with $10.00 to the registry office below. The owner of the dam will receive a blue puppy registration for each puppy in the litter. Blue puppy papers must be kept or transferred and later submitted for permanent registration. 
Make checks out to: IPDBA 
IPDBA 
P.O. Box 311
Upton, KY 42784
Phone: (270) 531- 3662
Email: ipdbaregistry@gmail.com
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