Registration Form

Check out our new and easier to use Registration form.  Having problems or just need something clarified?  Just drop us a line or give us a jingle on the phone!  amjaregistry@gmail.com  605-491-0651

                    American Miniature Jersey Association & Registry

                           Application for Registration

 

Name of Animal __________________________________     (max 24 letters)    Date of Birth ______________

 

Application for Temporary Registration _____(under 3 years)  or

   

Application for Official Registration_____(3 years+)

 Sex_____________  Height at hip ______________  Age when measured ________________

44” and under at 3 years of age qualifies as a miniature Jersey __________

45” – 48” at 3 years qualifies as a Mid-Size Jersey ___________

_____ Purebred Miniature Jersey   _____ Percentage (_____%) Breed of Dam _____________

Identification __________(Tattoo, tag, etc.)  location of identification____________

Color_________________  Horn status_______________    DNA case #______________

Betta Cassien _______________   Chondro Status  ______________(carrier/noncarrier/untested)

                       

Breeder:                          ___________________________  Current Owner :_____________________________

Name and Address         ___________________________   Name and Address ___________________________

                                       ___________________________                                   ___________________________

                                       ___________________________                                    ___________________________

 

New Owner     :               __________________________     Phone: ______________________(required)

Name and Address          __________________________    Email:   ______________________

                                        __________________________

                                                           

 

Please include(email) a current picture of the animal being registered.  A good profile picture is preferable.  Be sure to make note of the animal’s name on the email so we can attach it when your paper work arrives.  Please see our new fee schedule and be sure to include payment with your application.  If you have any questions, feel free to give us a call or drop us a email.  We are more than happy to help you with your application or transfer.

                                                                    

 

                                   American Miniature Jersey Registry, PO Box 365, Roscoe SD,  57471

                                                               605-491-0651, amjaregistry@gmail.com

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