Application
for Registration of American Lineback Dairy Cattle
Use one
form per each animal to register. Please complete the form with as much information
as possible. You must have a metal ear
tag # to complete this form and the registration process.
Mail
with fees to: Lisa Guell, N4426 Northview Rd., Eden, WI 53019
email:
lisaguell@yahoo.com
Fees: Member-Animal, 0-6 mon. $8; 6 mon.-1 yr $10; 13-24 mon. $14; 2 yrs & up $20.
Non-member-Animal, 0-6 mon. $16; 6 mon.-1 yr $20; 13-24 mon. $28; 2 yrs &
up $40.
Transfers: Member-$5, Non-member-$7 Dupl/reprints
$5. RUSH FEE-$10 anything less than 30 days
Note: Membership MUST be current to register your animal at member rates.
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Owner’s information Herd Name/Prefix: ________________
Name: ___________________________________
Address: _____________________________________________________________
Telephone: ____________
Email: ____________________________
**************************************************************************************
Animal’s Registration
Name: _________________________
Bull or Heifer/cow (circle)
Date of Birth: ____________________
Twin? Yes or No (circle) Sex of Twin: Bull
or Heifer (circle)
Bangle Ear Tag: ______
L or R Tatoo or Metal Ear Tag: ______________ L or R
Breeder’s Name:
____________________________
Lineback Type: White Classic Witrick Dark Sided Witrick Gloucester
(circle one) Dark
Speckled Witrick Unmarked Lineback
If animal falls somewhere
in-between these types, circle the type that most closely resembles your animal.
Note any unusual markings in drawing.
Color: Black Red Brown
White Blue (predominate color __________)
(circle one)
if
roan mixture
White Line: Narrow (less
than 3-4”) Normal (4-5”) Wide
(to hip or shoulder bones)
Legs & Feet: Socks: Left Fore, Right Fore, Left Hind, Right
Hind Horns: yes or no
Garters: Left Fore, Right Fore, Left Hind, Right Hind Polled: yes or no
(circle all that apply)
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Please
include a clear photograph of the animal to register. This photo will be printed
on the registration certificate to show the actual identity of the registered Lineback.
The photo should show at least one full side and the face. Photos of both
sides will be printed when provided. If photos are not possible, please fill
in the drawing on the other side to provide any unusual color patterns or existing markings.
Gloucester
Classic White Witrick Dark Sided Witrick Dark Speckled Witrick
Heritage Information (if parents are not Lineback, please note the breed)
Sire:
_______________________ Breed: _____________ Registration #_________
Metal
Ear Tag: ____________________ Semen Available: Yes or No (circle)
Breeder:
__________________________ Current
Owner: ____________________
Sire’s Sire: ______________________ Breed: ________________Registration #: ___________
Metal Ear Tag: ______________ Breeder: _________________________
Sire’s Dam ______________________ Breed: ________________Registration #: ___________
Metal Ear Tag: _______________ Breeder: _____________________
Production
details or any additional information:
*****************************************************************************************************************
Dam: __________________
Breed: ______________ Registration #_________
Metal
Ear Tag: __________________________
Breeder:
__________________________ Current
Owner: ____________________
Dam’s Sire: ______________________ Breed: _______________ Registration #: ___________
Metal Ear Tag: _______________ Breeder: ________________________
Dam’s Dam ______________________ Breed: ________________Registration #: ___________
Metal Ear Tag: _______________ Breeder: _____________________
**Production
details or any additional information:
Include 2 photos of each side, with one including the face.
