APPLICATION FOR CUR SINGLE REGISTRATION Please allow 4 to 6 weeks for processing. Please carefully complete this form. UKC ® is not responsible for errors caused by illegible handwriting. Incomplete applications may result in processing delays. Step 1 Dog Information Please check one of the following options. K Black Mouth Cur K Stephen’s Cur K Treeing Tennessee Brindle K Mountain Cur K Treeing Cur K X-Bred Cur Color Sex____________________ Date of Birth __________/___________/_________ month day year Tattoo_____________________________________ Microchip ______________________________________ Is dog spayed/neutered? I No I Yes. If yes, provide date ________/_________/_______ month day year Owner/Registrant(s) of Sire at time of breeding (if available) __________________________________________________________________________________________________________________________ Owner/Registrant(s) of Dam at time of breeding (if available) ________________________________________________________________________________________________________________________ Dog Name A dog’s name cannot be changed once it has registered offspring with UKC® or attained a UKC® title. Do not use over 30 characters and spaces. Dog’s name must consist of two words or more. The Sole Signatory’s Last Name will be added to names containing only one word. Any punctuation is considered a space. UKC reserves the right to deny any name, for any reason. Any name deemed discriminatory or derogatory towards race, religion, gender, sexual orientation, disability, or national origin will be denied. Step 2 Sole Signatory Information Print the name of the Sole Signatory __________________________________________________________________________________________________________________________________________ Sole Signatory (Only one individual may be listed as the Sole Signatory) By signing this application I agree to abide by all UKC ® rules, regulations, and policies; also understand that I am responsible for all information contained herein. All applications and photos become the property of UKC ® and are not returned. UKC ® reserves the right to refuse an application as well as correct or revoke any registration at any time. I further attest that the dog for which Single Registration is being applied: a) meets the UKC breed standard, as interpreted by UKC, for the breed for which it is being registered; b) does not exhibit any of the breed standard disqualifications; and c) is a good specimen of that breed. I give permission to United Kennel Club to use photographs of my dog in all forms of media, and promotion - al purposes, including but not limited to, publicity, display, advertising, education and editorial use. Signature of the Sole Signatory (Required) ____________________________________________________________________________________________________________________________________ Current Address __________________________________________________________________________________________________________________________________________________________ UKC is NOT responsible for undeliverable mail due to incomplete mailing addresses. City ______________________________________________________ State/Province __________________________ Postal Code _________________ Country __________________________________ Phone # ( _______ )__________________ Email Address __________________________________________________________________________________________________________________________________________________________ ADDITIONAL REGISTRANTS/SUCCESSORS: Up to three additional Registrants/Successors may be listed on this dog’s record. Persons listed as Successors will be listed on the registration documents as part owner but will not be authorized to sign any registration documents, transfers, litters, etc. pertaining to this dog. These individuals below should be listed in succession. In the event of the death of, incapacitation of, or other circumstances that would require the removal of the listed Sole Signatory, Successor One will become the official Sole Signatory. By signing as a Successor, I authorize and understand that the individual listed on this application as the Sole Signatory will be responsible for signing all registra - tion documents pertaining to this dog on my behalf. I further understand that the designated Sole Signatory may delete or change Successors without my knowledge or consent. SUCCESSOR 1 (optional) SUCCESSOR 2 (optional) SUCCESSOR 3 (optional) Print Name: ______________________________________ Print Name: ______________________________________ Print Name: ______________________________________ Sign (Required) : __________________________________ Sign (Required) : __________________________________ Sign (Required) : __________________________________ Address: ________________________________________ Address: ________________________________________ Address: ________________________________________ City, State/Prov., Postal Code: ________________________ City, State/Prov., Postal Code: ________________________ City, State/Prov., Postal Code: ________________________ Phone: __________________________________________ Phone: __________________________________________ Phone: __________________________________________ Email: __________________________________________ Email: __________________________________________ Email: __________________________________________ Continue to Steps 3-5 g Step 3 Rules - IMPORTANT INFORMATION & RULES Governing Cur Single Registration The rules for Single Registration for the Cur breeds are as follows: • a cross between a UKC recognized Cur breed and a UKC recognized Feist breed 1. Completed UKC Application for Cur Single Registration is required for all breeds . • a cross between an X-Bred Cur and a UKC recognized Cur breed 2. Copy of your dog's registration certificate from a UKC acknowledged registry if applicable. See • a cross between two X-Bred Curs breed specific requirements below. • a cross between an X-Bred Cur and one of the UKC recognized Coonhound breeds Black Mouth Cur: NKC • a cross between an X-Bred Cur and an X-Bred Coonhound will be registered as an X- Mountain Cur: Original Mountain Cur Breeders Association, Kemmer Stock Breeders Bred Cur Association, United Mountain Cur Association • any dog exhibiting a disqualification for a UKC recognized Cur breed Stephen's Cur: Stephen's Stock Registration • any dog unable to provide proof of registration Treeing Cur: Both parents must be UKC registered. 3. A complete three generation pedigree is required for Mountain Curs, Stephen’s Curs, and the Treeing Tennessee Brindle: NKC Treeing Tennessee Brindle. X-Bred Cur: • a cross between two different UKC recognized Cur breeds 4. An NKC pedigree will be accepted for a Black Mouth Cur , but is not required. • a cross between a UKC recognized Cur breed and one of the seven UKC 5. Three color photographs. One photo of each side of the dog and one photo of the front must be Coonhound breeds provided for all breeds. Photos should be taken at eye level with the dog in a standing position. Step 4 Pedigree If applicable, indicate the sire and dam’s UKC registration number and name below. If the sire and dam are not UKC registered, forward a copy of an official/certified pedigree from an acknowledged registry listed in the Rules Governing Single Registration. If your single registration application is submitted without an official/certified pedigree from an acknowledged registry, it will be reflected on the pedigree as “Not Provided”. A complete 3-Generation Pedigree is required for the Mountain Cur, Stephen’s Cur, and Treeing Tennessee Brindle. If the sire and dam are not UKC registered or an official/certified pedigree from an acknowledged registry listed above cannot be provided, the dog will be registered as an X-Bred Cur. Sire ____________________________________________________________________________________________________________UKC No. (if available) ______________________________ Dam ____________________________________________________________________________________________________________UKC No. (if available) ______________________________ Step 5 Fees (Subject to change without notice) Credit Card Information (Major Credit Cards Accepted) _____________________________________________________/_________________________________________________________ K 1-3 dogs ..........................................................$25 each ____ Cardholder’s Name Cardholder’s Signature K 4-8 dogs ..........................................................$15 each ____ K 9 or more dogs ................................................$10 each ____ ______________________________________________________________________________________ _______________________ City/State/Province Postal Code (To the same Sole Signatory) Cardholder’s Address *K Next Day Air Service ..........................................................$60 ______________________________________________________________________ _______________________________ (Available for physical mailing addresses in Continental US only / Credit Card Number Exp Date Saturday delivery is not available / No P.O. Box addresses.) *K Expedited Service ..............................................................$40 Checks and money orders must be payable in US funds and made to the order of : (Upon receipt at UKC, processed and returned within five busi - United Kennel Club • Attn: UKC Cur Single Reg Dept ness days, with tracking number. Valid email address must be 100 E. Kilgore