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