Designer Breed Registry Application for consultation
DOGS INFORMATION
Breed:____________________________________________________________________Date Of Birth:_________/______________/____________
DBR Number______________________________________[ ]Male [ ]Female Micro Chip ID # if applicable:___________________________
Dogs Name:_|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
Please print clearly in capitol letters..
Registrant Information
Owners Name:____________________________________________Co Owner:_____________________________________________
Owners Address:_________________________________________________________________City:________________________________
Country/State:_________________________________Postal/Zip Code:_________________Phone:__________________________________
One time free consultation
Phone:_______________________________Best time and day to call for consultation_________________________________20 minute time alloted
Email____________________________________________________
Owners Electronic Signature:___________________________________________________________Date:__________________
Problem:
( )Housebreaking ( ) Chewing ( )Playing too rough ( )Crate breaking ( )Digging ( )Jumping up ( )Walking on lead ( )Other
Please copy/paste and email the completed application to:traininghelp@designerbreedregistry.com
Dogs being registered for consultation must be owned by the person/s calling for consultation
Dogs MUST be registered with the Designer Breed Registry see link below
Register my dog with the Designer Breed Registry