AMERICAN BEEFALO INTERNATIONAL
P.O.BOX 656
SOMERSET, KY 42502
1-800-BEEFALO

APPLICATION
HERD BOOK REGISTRY

ADDRESS__________________________CITY__________________________ST____ZIP_________________

NAME OF ANIMAL__________________________________________________(LIMIT 28 CHARACTERS)

PERCENTAGE_____________ SEX______________ POLLED, HORNED, SCURRED__________________

DATE OF BIRTH_____________HERD PREFIX__________EAR TATOO__________LOCATION_______

SIRE:
NAME___________________________________REG #__________________LAB CASE#_________________

BISON CONTENT_________________________

SERVICE: NATURAL ____         AI____DATE OF 1st SERVICE___________2nd SERVICE_____________

DAM:
NAME__________________________________REG#___________________LAB CASE#__________________

BISON CONTENT__________________________BIRTH YEAR OF DAM_____________________________
PERFORMANCE DATA:

BIRTH WT______________ CALVING EASE______________ MANAGEMENT CODE__________________

MULTIPLE BIRTH ? NO________ YES________ # OF CALVES_________ OTHER SEX________________

ACTUAL WEANING  DATE______________________ACTUAL WEANING WEIGHT____________________

ACTUAL YEARLING WEIGHT____________________DATE WEIGHED______________________________

____REGISTRATION $20.00                       ____TRANSFER $10.00                        ____DNA TEST KIT $38.00
BREEDER:
IF BREEDER (OWNER OF DAM ON RECORD AT TIME OF BREEDING) IS DIFFERENT FROM OWNER/APPLICANT, PLEASE LIST BELOW. A BREEDING STATEMENT LISTING SIRE, DAM, PASTURE BRED OR AI (WITH AI DATE)  AND SIGNED BY THE BREEDER MUST BE ATTACHED.

BREEDER__________________________________ADDRESS_________________________________________

CITY_______________________________________STATE_____________ZIP___________
   I CERTIFY THAT THE INFORMATION ON THIS FORM IS CORRECT AND THAT THIS ANIMAL IS ELIGIBLE FOR REGISTRATION IN THE HERD BOOK ACCORDING TO THE RULES AND BY-LAWS OF AMERICAN BEEFALO INTERNATIONAL.

SIGNATURE___________________________________________DATE__________________