NOBLE, Inc.
Registration Application
General Information Governing Single Registrations

Please fill out the Registration Application completely - type or print plainly. The NOBLE Registry cannot be responsible for misspelled words or names.

In addition to the completed application, the following must also be included in your Registration Application packet:

1. A copy of the dog's registration form/export pedigree from any other NOBLE recognized registry*, which includes a 3 generation pedigree.
2. Three (3) color photographs of the dog (3"X3" minimum) showing left and right sides and full front. Photographs will not be returned.
3. A check or money order payable to NOBLE in the proper ammount. (See registration fees below).

Registration Fees (payable in US funds): For NOBLE members, there is no fee for single registration. The non-member registration fee is $20.00. A registration certificate and 3 generation pedigree will be sent if the Registration Application is accepted. (The member discount will apply if the registration application is accompanied by the paid NOBLE membership application.)

Once submitted, this application becomes the property of the National Organization of Belgian Laekenois Enthusiasts, Inc. and will not be returned.

Mail completed Registration Application packets to:
NOBLE Registry c/o Randie Meyer
3 Mayhew Ln.
Amherst, NH 03031

If you have questions, please contact Randie at the above address or laekenois@sprintmail.com.

NOBLE reserves the right to change policies regarding registration, including changing fees and other requirements, at any time.

*NOBLE requires that the dog be registered with a reconized registry in the country of birth: Foreign Registry Organizations as listed in section IV of the AKC Special Registry Services Publication (GASPEC 8/00) OR in North America with the AKC-FSS, CKC, or UKC. Registered Belgian Laekenois with intervarietal pedigrees are welcome.

Form NRA - 1998 Rev. B

 NOBLE, Inc.
Registration Application

Owner Name(s):

Mailing Address (inlcuding country):

 

 

Telephone Number:
Email Address:

Breeder Name(s):

Mailing Address (inlcuding country):

 

 

Telephone Number:
Email Address:

Print Dog's Name: (limit 30 characters and spaces)
                                                           

Date of Birth (mm/dd/yyyy) ______/______/______ Sex: __ Male __ Female
Color: _________________________ Tattoo/Microchip# ____________________________________
Country of Birth: _____________________
Foreign/Other Accepted Registry #: ______________________________________________
    Sire:______________________________
Reg#:__________________
   Sire:______________________________
Reg#:__________________		  
    Dam: ____________________________
Reg#: _________________
 Sire:______________________________
Reg#:__________________		    
     Sire:______________________________
Reg#:__________________
   Dam: ____________________________
Reg#: _________________		  
     Dam: ____________________________
Reg#: _________________
     Sire:______________________________
Reg#:__________________
   Sire:______________________________
Reg#:__________________		  
     Dam: ____________________________
Reg#: _________________
 Dam: ____________________________
Reg#: _________________		    
     Sire:______________________________
Reg#:__________________
   Dam: ____________________________
Reg#: _________________		  
     Dam: ____________________________
Reg#: _________________

I (we) hereby apply for registration of the above dog and certify that all of the facts set forth herein are true and correct. I also certify that the above dog, if intact, meets the official NOBLE breed standard, and exhibits no disqualifying faults according to that standard. I (we) have read and understand the NOBLE Code of Ethics and agree to abide by the Code that is in effect at the time should I (we) decide to breed this dog.

________________________________________________________________________________ ___________________
Signature of Owner (s)........................................................................................................................................Date
Form NRA - 1998 Rev. B

Back to NOBLE Home