Russian Spaniel Club Registration Form

	Registration Application


Use this application to register a Russian Spaniel living in the USA or Canada only.

Please fill in all the fields marked with *

Dog's Basic Information


1.	Dogs Name:*
2.	Sex:*
3.	Date of Birth:*
4.	Place of Birth:*
		Please complete section on Imported dog if "Imported" is selected.
5.	Main color:*
6.	Markings color:*
7.	The dog is(will be) trained as a gundog?*

Owner Information

First Name: *

MI:

Last Name: *

	E-mail Address:*
	Website:

Dog Pedigree Information


	Sire's name:*
	Sire's DOB:*
	Sire's Owner:*
	Sire's Country of residence:*
	If Sire is registered with RSC, provide his registration number:
	Sire is registered with (other than RSC):*
	Sire's ID number in the club listed above is:


	Dam's name:*
	Dam's DOB:*
	Dam's Owner:*
	Dam's Country of residence:*
	If Dam is registered with RSC, provide her registration number:
	Dam is registered with (other than RSC):*
	Dam's ID number in the club listed above is:

Imported Dog's Information (to complete for the dog born outside USA and Canada)


	Country of Birth:
	City of birth:
	Date of arrival to USA or Canada:
	Name of the Foreign Registry or Club:
	Foreign Registry ID Number:
	Tattoo:
	Tattoo location:

By submitting the above information and applying for the membership in the Russian Spaniel Club, I asknowledge and accept that at no time will I attempt to breed from the dog registered with the Russian Spaniel Club without prior consent from the Russian Spaniel Club. I also understand that Russian Spaniel Club has a right to refuse issuing pedigree and register my dog's unplanned offspring, and I would inform the offspring's new owner about this club regulation.

Do not forget to send us a picture of your Russian Spaniel to display on the RSC's website

If you have any questions please send us an