ACC Litter Registration Application

Acceptable registries for Sire and Dam include ACC, CTCA, FCI and USACTC. For other registries please contact ACC. If Sire or Dam is not registered with ACC, please include copies of pedigrees with application. There is no charge for litter registrations.

Date of Birth ________________ Place of Birth ______________________________

Number of Puppies: Male ___________ Female ____________

Sire's Name and Registration Number ________________________________________

Dam's Name and Registration Number _______________________________________

Owner of Sire on Date of Mating ____________________________________________

Date of Mating ________ Place of Mating ___________________________________

Signature of Sire's Owner ___________________________________

Owner of Dam on Date of Birth ______________________________

Owner's Address__________________________________________________________

Owner's Phone Number __________________ Owner's Email_____________________

Signature(s) of person(s) who witnessed Mating_________________________________

I am the owner of the above named Dam on the date of birth of the litter and this dam was not mated to any other dog during her season.

Signature of Dam's Owner ______________________________ Date_______________

ACC litter registration is free to Coton Breeders: Mail form to

ACC
3484 Waverley Street
Palo Alto, CA 94306