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* RCF Evert #246 Y DOB 4/14/12 SEX M Type * Tw % 90.625 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 * Gr Pattern * White Spots * S H Codon 171* Parentage – Name & PVT Farm Tag # Sire; AI – Shaun - Sweden Dam; Catrena #355 Sire Dam Sire Dam Sire Dam Sire Dam Sire Dam Sire Dam Sire Dam Sire Dam Type F= Foundation Ewe or Ram N = Recorded percent Gotland Y = Registered Gotland meeting breed standards S=Single TW=Twin TR=Triple QD=Quad QT=Quintuplet 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 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) 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 Fees: $3 Foundation Ewe or Ram $3 Duplicate Certificate $5 Ewe/Ram Recording and Transfers $8 Ewe/Ram Registration Must be a member of GSBANA to do any transactions.* Double if over 12 months from the transaction/birth-not in effect until 2009 Rush Fees: Same day: (US Mail)=Double Above Overnight: Current overnight US Mail Charge R369-AI 152 % New Owner 100 81.25 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. Use these codes to fill out the form: REG GSBANA # Applicant Farm Name Flock # Address City, ST, Zip Phone Signature Email Date