World Airedale Terrier Registry www.WorldATR.com

Airedale Registration Form

Name of your Airedale:
Date of Birth mm-dd-yyyy:
Color:	Black & Tan
	Grizzle & Tan
	Black
	Red
Registration # (if registered elsewhere) Specify which registry:
Gender:	Male
	Female
DNA # (if available):
	Unlimited (Offspring May Be Registered
	Limited (Offspring May Not be Registered)
Name of Dam (mother):
Name of Sire (father):
Tattoo/Microchip # & Brand (if available):
Owner's Name:
Owner's Address:
Owner's Phone #'s:
Owner's Email:
Breeder's Name & Phone #: (if different than owner)
I(we) hereby state that this information is true and that this Airedale is purebred. Type your name as signature:
Name of person filling out this form:

Register An Airedale

Fill in all the blanks, then submit
Mail copies of the three generation pedigrees.
Mail $15.00 check or money order and the above to:
WorldATR
239 Fafnir Drive
Kimberly, ID 83341

You will receive a WorldATR registration certificate with the
World Airedale Terrier Registry number.