American Pit Bull Registry

PO BOX 1036 Antioch, TN 37011

www.PitBullRegistry.com & www.AmericanPitBullRegistry.com

Individual Pit Bull Registration Form

If you do not have a printer or wish to expedite your registraiton you may alternatively use the Online Submission method by clicking here

or This form can be printed blank for offline completion, distribution and submission by clicking here

www.PitBullRegistry.com & www.AmericanPitBullRegistry.com 

Referred By:

not required but helpful

Name of Sire APBR number if known

Alternative Registering Organizations and Numbers:not required but helpful

Organization Number

Organization Number

Organization Number

Sire owner email if Available

not required but helpful

Name of Dam APBR number if known

Alternative Registering Organizations and Numbers:not required but helpful

Organization Number

Organization Number

Organization Number

Dam owner email if Available

* = required

*Owner Name

*Name of dog to be registered

*Address *City

*State/Province Country *Postal Code(ZIP)

Area/Country Call Code Phone

E-mail if available

*Registering Pit birth date (if unknown, approximate)

State/Province of birth

*Description of Dog: Male Female  Bloodlines if Known

*Describe your pure bred Pit Bull physically especially any unique characteristics:

Individual Pit one time registration due $25.00US each 

Please check the appropriate option that best meets your current status:

Already an APBR member Signing up as a new member to the APBR

Please check the appropriate box regarding required front and side pictures of registering Pit Bull

Pictures mailed by regular mail      Pictures emailed to MyPitBullPictures@Yahoo.com

or

I am a current member and have labeled accordingly and uploaded my pictures in the Member Gallery

If pics sent by email the owner name and Pit Bull's name should be placed in the subject line of the email. A brief text message should also be included containing details. If this method is chosen and the above requirements are not met this may cause the email server to delete your pics causing unnecessary delay in the registration process.

I certify that all the provided information is to the best of my knowledge true and correct. I understand that any falsified information may subject me to legal action and loss of registration.

*Signature *Date

After you have filled this form in PLEASE PRINT, SIGN, and SEND to the APBR at the address provided including any additional material needed (pics and payment) to complete the registration process.

If pics are sent by email they should be sent to us at MyPitBullPictures@Yahoo.com. The owner's full name and Pit,s name should be placed in the subject line of the email. A brief text message should also be included containing details such as names, individual picture description etc. If this method is chosen and the above requirements are not met this may cause the email server to delete the pics perceiving them to be a virus and causing a potential delay in the registration process for you or the new owners.

Please allow up to 8 weeks for for completion. Registrations are handled in the order they are received and processes in as expeditious a manner as possible.