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Owner’s information                               Herd Name/Prefix:______________

Name: ________________________________________________________

Address: _______________________________________________________

              _______________________________________________________

Telephone: _______________________          Email: _______________________

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Animal’s Registration Name:   _____________________________________

Bull or Heifer/cow (circle)                             Date of Birth: ____________________

Twin?  Yes or No (circle)   Sex of Twin:  Bull or Heifer (circle)

Left Ear Tag or Tatoo: _________________   Right Ear Tag: _____________

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)                                                                -roan mixture

White Line:  Narrow (less than 3-4”)     Normal (4-5”)     Wide (to hip or shoulder bones)

(circle all that apply)           

Legs & Feet:  Socks:  Left Fore, Right Fore, Left Hind, Right Hind      

Garters:  Left Fore, Right Fore, Left Hind, Right Hind      

 Horns:  yes or no    Polled:  yes or no

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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 sketch a drawing  to provide any unusual color patterns or existing markings.