| DESIGNER BREED REGISTRY Registered Kennel Name Application Revised July, 2008 The Designer Breed Registry offers breeders the Registered Kennel Name Program to protect the use of their kennel's name in the naming of Designer Breed Registry registered dogs. The use of a registered kennel name allows breeders to name dogs of their breeding in an identifiable manner creating a prominent familial foundation in the breed. Registered Kennel Names granted on or after July 1, 2008 are breed specific. lAn applicant may request the name for multiple breeds but must meet the requirements, separately and distinctly, in each breed. A non-refundable processing fee of $25.00 is required for each breed. Fee is subject to change without notice. PLEASE READ THE FOLLOWING REQUIREMENTS CAREFULLY. ALL REQUIREMENTS MUST BE MET AT THE TIME OF APPLICATION FOR THE GRANTING OF A REGISTERED KENNEL NAME. APPLICATION INFORMATION WILL BE VERIFIED THROUGH REVIEW OF DESIGNER BREED REGISTRY RECORDS. THE FOLLOWING REQUIREMENT MUST BE MET BY THE APPLICANT A breeder, who has bred at least one Designer Breed Registry registered litter. THE FOLLOWING CONDITIONS GOVERN THE GRANTING OF A REGISTERED KENNEL NAME: The Designer Breed Registry is not responsible for the use of this kennel name thru other registries and breeders whose dogs are not registered through the Designer Breed Registry The name may be a unique word/s created by the applicant. The name may contain a maximum of two words and a maximum of 15 total characters and spaces. Ineligible words would include, but are not limited to, conflict either phonetically or in spelling with: the name of a breed, DBR titles, names of cities, family names, corporations or trade names, names of famous and universally recognized persons, living or dead, or words commonly used in the naming of dogs. A kennel name may not contain any derogatory or discriminatory words. The granting of a Registered Kennel Name is at the sole discretion of the Designer Breed Registry The Designer Breed Registry reserves the right to reject an application. Registered Kennel Name Application I (We) are applying for the following Designer Breed Registry Registered Kennel Name: First Choice __________________________________________________________ Second Choice ________________________________________________________ Kennel names are limited to two words and a total of 15 characters and spaces.Please contact the Designer Breed Registry if your kennel name is longer. I (We) are applying for this Registered Kennel Name for the following breed(s): ___________________________, ___________________________, ____________________________ Requirements must be met in their entirety for each breed. $25.00 Processing fee is due for each breed. OWNER OF REGISTERED KENNEL NAME Print Name _____________________________________________________________________ Address ________________________________________________________________________ City __________________________________ State ____________ Zip Code _____________ Daytime Phone _____________________________ email ________________________________ CO-OWNER OF REGISTERED KENNEL NAME, IF APPLICABLE Print Name ___________________________________________________________ Address _________________________________________________________________________ City __________________________________ State ___________ Zip Code_______________ Daytime Phone _____________________________ email ________________________________ $25.00 processing fee must accompany application. Fee is non-refundable and subject to change without notice. Renewal fee is $25.00 per breed renewable for 5 year periods. Payment may be made by check, money order or credit card. If paying by credit card, please complete the section below: Charge my: ( )Discover ( )MasterCard ( )Visa Account Number___________________________________________________ Ex Date ____ / ____ Signature __________________________________________ Printed Name _______________________________________ I (We) hereby certify: That the information given on this form is true and accurate to the best of my (our) knowledge. _________________________________________ _________________________________________ Applicant's signature Co-Applicant's signature Send completed application to: Designer Breed Registry/ Registered Kennel Name 919 Lakewood Farmingdale Road Howell, New Jersey 07731 989-644-0301 |