Icelandic Sheepdog Registration.

Please complete the following information for each Icelandic Sheepdog you own. Include all
conformation, obedience, agility, or working titles (foreign and domestic).

If you own an Icelandic Sheepdog but do not wish to join the ISAA (and to receive a newsletter and
vote), please send in the information (with no check) regarding your dogs anyway so we can keep
track of them in this country.

Dog's Registered
Name
:_________________________________________________________________  

Color:  Top:_________________  Bottom:________________   
Markings:_______________________

Titles:_____________________________                      
Owner:________________________________

Call Name:_________________________                    
Address:________________________________

Tattoo/Microchip #__________________          City, State,
Zip
:________________________________

Phone Number ______________________    
Email:__________________________________________

URL:  http://_________________________________________

Gender:  Male  or  Female        Coat:  Medium  or Long        Dew Claws:  Double or Single

Date of Birth:____________________________            Tail
Characteristics
:_______________________

Unaltered / Neutered / Spayed

Country of Birth:___________________________      
Breeder:__________________________________

CERF #___________________________________    OFA
#
____________________________________

DNA #____________________________________     
PennHip__________________________________

Registration #  Registration Organization
AKC FSS:_________________________________
UKC:_____________________________________
ARBA:____________________________________
Other:____________________________________

If you have more than one dog, include separate information for each dog. Please send a copy of
each dog's 3-generation pedigree if available.

What activities do you participate in with your dogs?  (Indicate those that apply)

[ ] family pet
[ ] herding
[ ] assistance/therapy
[ ] dog showing
[ ] agility
[ ] search and rescue
[ ] obedience
[ ] breeding
[ ] other (please list)

How would you like ISAA to help you?  (Indicate those that apply)

[ ] meeting other owners
[ ] registration
[ ] learning about the breed
[ ] finding a puppy/dog litter
[ ] promotion
[ ] breeding plans
[ ] breed promotion
[ ] other (please list):

Indicate any of the following Committees of the ISAA which you would like to join:

[ ] Registration & Tracking
[ ] Breed Standard
[ ] Ethics
[ ] Internet Website
[ ] Rescue
[ ] Showing
[ ] Publications
[ ] Constitution & Bylaws
[ ] Working
[ ] Other (please list)


Please return completed Registration (Registration may be sent on-line to
Knox Rhine), Please mail a
copy of your dog's three-generation pedigree  to:

ISAA Tracking
c/o Knox Rhine
7 S Kansas CT
Newton, KS 67114-4561