The
Cockapoo Club of America, Inc.The
Cockapoo Club of America, Inc.
| STUD SERVICE CERTIFICATE
AMERICAN COCKAPOO™ |
Must be signed by owner of stud dog, certifying that below named dam was bred to his or her stud dog.
This is to certify that the dam, _____________________________________________________________________________________
CCA Reg. No:_________________________Microchip No:_________________________AKC Reg. No:__________________________Breed:________________________________
Owned by: ____________________________________________________________________________________________________
Street: ________________________________________________________________________________________________________
City: _________________________________________________ State: ____________________ Zip: ___________________________
Phone: __________________________________________
was bred to my stud dog, _________________________________________________________________________________________
CCA Reg. No: _________________________Microchip No:_________________________AKC Reg. No:___________________________Breed:________________________________
Date(s) bred: ____________________________________________________________________________________________________
Date whelped: ___________________________________________________________________________________________________
No. of pups in litter: _________males _________females
Owner of stud dog: _____________________________________________________________________________________________
Street: _________________________________________________________________________________________________________
City: __________________________________________________ State: ____________________ Zip: ___________________________
Phone: __________________________________________
A Stud Certificate Must Accompany Every Application for Registration.
I certify that the information provided in this certificate is correct to the best of my knowledge.
Signature____________________________________________________________Date_______________________________________
Note: It is recommended that an individual signed original be provided for each pup in the litter.