RWDCA Registry Application
For listing of registry fees click here. All information marked with * is required.
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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.
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Animal Information
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Color of Animal:
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Red & White
Black-Red
Black & White Known Red Factor Yes
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
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Check one method of identification:
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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
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Sex of Animal:
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Female
Male
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Other Information:
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Twin Sex of other twin
Female
Male
Naturally Polled
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Animal's Date of Birth (mm/dd/yyyy):*
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Ear Tag No.:
(State eartag or barn number, optional)
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Tattoo: (optional)
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If Registered in Another Association,
enter breed and registry number here:
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Breed
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Fleckvieh |
FV |
| Holstein |
HO |
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Lineback |
LD |
| Ayrshire |
AY |
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Meuse-Rhine-Issel |
MI |
| Brown Swiss |
BS |
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Montbeliarde |
MO |
| Guernsey |
GU |
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Normande |
NO |
| Jersey |
JE |
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Norwegian Red |
NR |
| Milking Shorthorn |
MS |
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Red Dane |
RD |
| Angler |
AN |
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Simmental |
SM |
| Dutch Belt |
DL |
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Swedish Red |
SR |
Registry Number
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Breed Percentages
Please note all should total 100%
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If you want to enter a breed not listed here email RWDCA.
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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.
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Sire Name:*
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Sire Breed:
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| Red & White |
WW |
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Fleckvieh |
FV |
| Holstein |
HO |
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Lineback |
LD |
| Ayrshire |
AY |
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Meuse-Rhine-Issel |
MI |
| Brown Swiss |
BS |
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Montbeliarde |
MO |
| Guernsey |
GU |
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Normande |
NO |
| Jersey |
JE |
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Norwegian Red |
NR |
| Milking Shorthorn |
MS |
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Red Dane |
RD |
| Angler |
AN |
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Simmental |
SM |
| Dutch Belt |
DL |
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Swedish Red |
SR |
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Sire Reg. No.:
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NAAB data:
(optional)
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Stud Code
Breed Number
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Sire ID if not registered:
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Dam:*
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Dam Breed:
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| Red & White |
WW |
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Fleckvieh |
FV |
| Holstein |
HO |
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Lineback |
LD |
| Ayrshire |
AY |
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Meuse-Rhine-Issel |
MI |
| Brown Swiss |
BS |
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Montbeliarde |
MO |
| Guernsey |
GU |
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Normande |
NO |
| Jersey |
JE |
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Norwegian Red |
NR |
| Milking Shorthorn |
MS |
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Red Dane |
RD |
| Angler |
AN |
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Simmental |
SM |
| Dutch Belt |
DL |
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Swedish Red |
SR |
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Dam Reg. No.:
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Dam ID if not registered:
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Service Data
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Service Record of Dam:
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Artificial Service. ....Breeding Date(mm/dd/yyyy):
Natural Service ......From
To
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Embryo Transfer Information:
(If animal is Holstein registered, this section need not be completed if Holstein registry number is provided above.)
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Embryo Transfer
ETS
ETN
Frozen Embryo Yes
No
Recipient ID #
Recovery Date (mm/dd/yyyy)
Date of Transfer (mm/dd/yyyy)
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Breeder/Owner Information
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Owner of Dam at time of Breeding
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Name: * |
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Street Address:*
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City:*
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State/Province:*
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Zip:*
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Country:
(if not USA)
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Phone:*
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Account Number:
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Owner of Dam at time of Calving
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Same as Above
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Name:*
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Street Address:*
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City:*
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State/Province:*
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Zip:*
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Country: (if not USA)
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Phone:*
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E-Mail Address:*
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Account Number:
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Complete this section if you bought or sold this animal:
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Name:
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Street Address:
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City:
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State/Province:
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Zip:
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Country:
(if not USA)
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Phone:
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E-Mail Address:
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Account Number:
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Date of Purchase (mm/dd/yyyy):
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Payment method
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New Accounts:
(prepayment required, processing will not be completed until payment is received)
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Check Mailed
Credit Card (MC, Visa, or Discover accepted; to provide credit card information call 608-676-4900 or fax to 608-299-0800)
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Established Accounts:
(in good standing)
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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
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Comments:
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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.
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