Gotland Sheep Breeders Association of North America 1039 State Route 168 Darlington, PA 16115 (724) 843-2084 Fax: (724) 891-1440 APPLICATION FOR REGISTRATION AND RECORDING Breeders Prefix, name & PVT Farm Tag # (Not to exceed 25 Spaces) REG* DOB SEX* Type * % Foundation ewe/ram eligible for recording: Approved foundation breeds listed below. Eligible for Recording: Any % Gotland is eligible to be Recorded. (Must be out of Recorded parents.) Eligible for Registration: Ewes 75% and up, Rams 87.5% and up who meet the GSBANA Breed Standard Color * Pattern * White Spots * Codon 171* Parentage – Name & PVT Farm Tag # GSBANA # % New Owner Sire Dam Sire Dam Sire Dam Sire Dam Sire Dam Sire Dam Sire Dam Sire Dam Sire Dam ***Use these codes: REG Sex F= Foundation Ewe or Ram E=Ewe N =Recorded percent Gotland R=Ram Y =Registered Gotland meeting breed standards T =Transfer from another association. Must attach copy of record/registration from other association. Color: GR=Grey WH=White BL=Black BR=Brown FA=Fawn O=Other Pattern: S=Solid BA=Badger M=Mouflon EB=EngBlue P=Pied O=Other Spots: N=None H=Head S=Socks T=Tail B=Body Type S=Single TW=Twin TR=Triple QD=Quad QT=Quintuplet Codon 171: RR QQ QR Instructions: Record the information and mail or Fax to: accuRegister, 1039 State Route 168, Darlington, PA 16115 Fax: (724) 891-1440 I certify that all information is accurate to the best of my knowledge and that any sheep submitted for registration meets the GSBANA Breed Standard. Applicant _______________________________________________ Fees: $3 Foundation Ewe or Ram $3 Duplicate Certificate $5 Ewe/Ram Recording and Transfers $8 Ewe/Ram Registration Farm Name ___________________________ Flock #____________ Must be a member of GSBANA to do any transactions. City, ST, Zip ______________________________________________ Rush Fees: Same day: (US Mail)=Double Above fees Overnight: Current overnight US Mail Charge Phone ________________________ Email ____________________ Address _________________________________________________ Approved Foundation Breeds Bluefaced Leicester (F) Border Leicester (B) Cotswold (C) English Leicester (E) Finnsheep (N) Icelandic Sheep (I) Lincoln (L) Shetland Sheep (S) Teeswater (T) Wensleydale (W) Signature _____________________________ Date _____________