RWDCA Registry Application
For listing of registry fees click here. All information marked with * is required.
|
Rush Service
Rush service available
Please note that online registries are processed with mailed or faxed appplications. For immediate processing you must order RUSH service. The additional fee for rush service is $20 each.
|
Animal Information |
| Color of Animal: |
Red & White
Black-Red Black &
White
Known Red FactorYes Brown & White
(Swiss or Jersey color) Brindle (distinct
black stripes on red or brown) Red Roan (blended red
& white - Milking Shorthorn) Blue Roan (blended
black & white) Solid Red Solid
White Solid
Black Solid
Brown |
| |
|
| Check one method of identification: |
Sketches Faxed
Sketches Mailed
Photo Mailed
Photo Emailed
Official Eartag
ID
Eartag
Serial No.
(NO SPACES PLEASE)
Eartag
Management No.
(NO SPACES PLEASE) |
Name:*
(use suffix
when appropriate:RED,TW, TR, ET, RC, BR) 30 character
maximum |
|
| Sex
of Animal: |
Female
Male |
| Other Information: |
Twin Sex of other twinFemaleMale Naturally Polled |
| Animal's Date of Birth
(mm/dd/yyyy):* |
|
Ear Tag No.: (State eartag or barn
number, optional) |
|
| Tattoo: (optional) |
|
If
Registered in Another Association,
enter breed and registry
number here: |
Breed
Fleckvieh
FV Holstein
HO
Lineback LD Ayrshire
AY
Meuse-Rhine-Issel MI Brown
Swiss
BS
Montbeliarde
MO Guernsey
GU
Normande
NO Jersey
JE
Norwegian
Red NR Milking Shorthorn
MS
Red
Dane
RD Angler
AN
Simmental
SM Dutch
Belt
DL
Swedish
Red
SR
Registry Number
|
Breed Percentages
Please note
all should total 100% |
If you want to enter a breed not listed
here email RWDCA. |
|
If sire or dam
is not registered, other ID must be given(state eartag
preferred). Otherwise, sire and/or dam will be listed as
unknown. |
| Sire Name:* |
|
| Sire
Breed: |
Red
& White
WW Fleckvieh
FV Holstein
HO
Lineback LD Ayrshire
AY
Meuse-Rhine-Issel MI Brown
Swiss
BS
Montbeliarde
MO Guernsey
GU
Normande
NO Jersey
JE
Norwegian
Red NR Milking Shorthorn
MS
Red
Dane
RD Angler
AN
Simmental
SM Dutch
Belt
DL
Swedish
Red
SR |
| Sire
Reg. No.: |
|
NAAB
data:
(optional) |
Stud Code
Breed
Number |
| Sire
ID if not registered: |
|
| Dam:* |
|
| Dam
Breed: |
Red &
White
WW Fleckvieh
FV Holstein
HO
Lineback LD Ayrshire
AY
Meuse-Rhine-Issel MI Brown
Swiss
BS
Montbeliarde
MO Guernsey
GU
Normande
NO Jersey
JE
Norwegian
Red NR Milking Shorthorn
MS
Red
Dane
RD Angler
AN
Simmental
SM Dutch
Belt
DL
Swedish
Red
SR |
| Dam
Reg. No.: |
|
| Dam
ID if not registered: |
|
|
Service
Data |
| Service Record of Dam: |
Artificial Service. ....Breeding Date(mm/dd/yyyy):
Natural Service ......From To
|
Embryo Transfer Information: (If animal is Holstein
registered, this section need not be completed if Holstein registry
number is provided above.) |
Embryo
Transfer ETS
ETN Frozen
EmbryoYes
No Recipient ID #
Recovery
Date (mm/dd/yyyy)
Date of Transfer (mm/dd/yyyy)
|
Breeder/Owner
Information |
|
Owner of Dam at
time of Breeding |
| Name:* |
|
| Street Address:* |
|
| City:* |
|
| State/Province:* |
|
| Zip:* |
|
Country:
(if not USA) |
|
| Phone:* |
|
| Account Number: |
|
|
Owner of Dam at
time of Calving |
|
Same as Above |
| Name:* |
|
| Street Address:* |
|
| City:* |
|
| State/Province:* |
|
| Zip:* |
|
| Country: (if not USA) |
|
| Phone:* |
|
| E-Mail Address:* |
|
| Account Number: |
|
|
Complete this
section if you bought or sold this
animal: |
| Name: |
|
| Street Address: |
|
| City: |
|
| State/Province: |
|
| Zip: |
|
Country:
(if not USA) |
|
| Phone: |
|
| E-Mail Address: |
|
| Account Number: |
|
| Date
of Purchase (mm/dd/yyyy): |
|
|
Payment
method |
New
Accounts:
(prepayment required, processing
will not be completed until payment is
received) |
Check Mailed Credit
Card (MC, Visa, or Discover accepted; to provide credit card information call 608-676-4900 or fax to 608-299-0800) |
Established Accounts:
(in
good standing) |
Check Mailed Credit
Card (MC, Visa, or Discover accepted; to provide credit card information call 608-676-4900 or fax to 608-299-0800) Please
Bill Me |
| |
Comments:
|
|
| |
| By submitting
this form, I hereby certify to the truth and accuracy of the
data given above and offer this animal for entry into the records,
and in accordance with the provisions of the Constitution, bylaws
and rules of registry, of the Red & White Dairy Cattle
Association. I accept full responsibility for any damages
resulting from inaccurate breeding information. In addition, I
agree that all records on the animals in my herd, whether made by me
or other, including production records, may be obtained and used by
the Red & White Dairy Cattle Association in its
programs. |
|
|
|
|