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This is an Application for Inspection
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Use this form when one or both parents are NOT registered with UHHSA or with a UHHSA recognized registry. IF BOTH parents are registered, please use the regular form available here: Online Application For Registration
Any questions, please contact the office at uhhsa@yahoo.com or call 937-430-1768
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BREED DIVISION APPLYING FOR:
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ENTER ONLY ONE SHEEP AT A TIME!
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BREEDER FLOCK PREFIX: enter your 1st choice if joining at same time
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NAME of SHEEP being registered: Please do not use more than 25 characters, including spaces, in the name.
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BIRTH NUMBER:
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DATE OF BIRTH:
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GENDER:
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FOR Painted Desert, American Heavy Horned, and Multi-horned Hair, (if applicable): May be left for the registrar to apply. The Registrar will have final say.
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COLOR: May be left for the registrar to apply. The Registrar will have final say. To choose more than one color hold down the "control" button while choosing.
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NEW MEXICO DAHL SHEEP COLOR:
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AMERICAN HEAVY HORNED SHEEP
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COLOR PATTERN: May be left for the registrar to apply. The Registrar will have final say. For other breeds, leave blank.
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PAINTED DESERT SHEEP or MULTI-HORNED SHEEP
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CORSICAN SHEEP
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DESERT SAND SHEEP
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EAR TYPE:
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HORN TYPE FOR RAMS:
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HORN TYPE FOR EWES:
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NUMBER OF HORNS - please note two will be assumed unless you indicate otherwise - PLEASE complete this box!:
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HORN COLOR:
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TAGGING or OTHER IDENTIFICATION INFORMATION (if applicable):
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SCRAPIE INFORMATION (Scrapie Farm ID, Individual Tag Number) ONLY include if tag is on sheep:
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PRIVATE FARM TAG (Tag Color, Number and Location):
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TATTOO INFORMATION (Number and Location):
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MICROCHIP NUMBER and LOCATION:
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OTHER IDENTIFICATION INFORMATION:
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CODON TEST RESULTS (if applicable): Please scan and email or mail laboratory report showing the results. Codon Testing tests for susceptibility to Scrapie.
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CODON 171 Results:
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Please provide all information you know about the Sire and Dam. If either the Sire or the Dam is registered, please indicate the name of the organization and the registration number and mail a copy or scan and email a copy of the registration certificate. If BOTH Parents are Registered, Please use the Registration Application Form available here: ONLINE APPLICATION FOR REGISTRATION instead of this form.
If nothing is known, please leave blank or list unknown.
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SIRE INFORMATION:
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SIRE NAME (include any flock name or flock prefix)
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Please list any other known information about the Sire, such as color, horn type, breed, etc.
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If Sire is registered in another recognized registry, please indicate the name of the registry and the Sire's registration number. Please remember to mail or email copies of his registration certificate(s), both front and back.
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I am emailing Sire's Registration Paper (front and back) to painted@windstream.net
I am mailing a copy of Sire's Registration Paper to UHHSA, Open Registry Inspection Committee, 10416 FM 1511, Buffalo, TX 75831
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DAM INFORMATION:
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DAM NAME (include any flock name or flock prefix)
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Please list any other known information about the Dam, such as color, horn type, breed, etc.
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If Dam is registered in another recognized registry, please indicate the name of the registry and the Dam's registration number. Please remember to mail or email copies of his registration certificate(s), both front and back.
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I am emailing Dam's Registration Paper (front and back) to painted@windstream.net
I am mailing a copy of Dam's Registration Paper to UHHSA, Open Registry Inspection Committee, 10416 FM 1511, Buffalo, TX 75831
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BREEDER INFORMATION: This is the Person who was the actual owner of the Dam when the sheep being registered was conceived. If unknown, please mark unknown or leave blank. IF the Breeder is also the APPLICANT, feel free to type "Same as Applicant" on the first line and leave the rest of the Breeder information blank.
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Breeder Name:
Breeder Farm Name:
Breeder Address:
Breeder Flock Prefix:
Breeder Phone:
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PREVIOUS OWNER: If Owner you purchased this sheep from was not the actual breeder of this sheep, list any known information. If anything is unknown, please leave blank or type unknown:
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Previous Owner Name:
Previous Owner Farm Name:
Previous Owner Address:
Previous Owner Flock Prefix:
Previous Owner Phone:
Date Previous Owner Purchased:
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CURRENT OWNER/APPLICANT INFORMATION: By providing the following information, I certify that all information included in this application is accurate to the best of my knowledge and that any sheep submitted for registration meets the UHHSA, Inc., Breed Standards and Registration Requirements.
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Applicant Name:
Applicant Farm Name:
Applicant Address:
Applicant Flock Prefix:
Applicant Phone:
TODAY'S DATE:
Date Applicant/Current Owner Purchased this sheep (if applicable):
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PHOTOS
You will need to submit photos (one of the left side, one of the right side, one of the front, and one of the back of the sheep)
PLEASE check here if you are emailing the photos to painted@windstream.net Make sure you label the emails with the names of the sheep being registered carefully.
PLEASE check here if you are mailing the photos to UHHSA, Open Registry Inspection Committee, 10416 FM 1511, Buffalo, TX 75831
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YOU MUST CLICK ON SUBMIT IN ORDER TO COMPLETE REGISTRATION!
YOU MAY PROVIDE PAYMENT INFORMATION ONCE SUBMIT HAS BEEN CLICKED ON!
ANY QUESTIONS OR PROBLEMS - Please email uhhsa@yahoo.com or call the office at 937-430-1768
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