North American
Barbados Blackbelly Sheep Registry
P.O. Box 237, McKean, PA 16426

This form is used when ONLY applying for registration for the offspring of 2 registered sheep. Please include payment of $5 per sheep.

Name of Sheep ______________________________________________________________

Tattoo/tag # L ______ R _______ Sex _______ Date of Birth _______ # in Birth ___F ____M

Sire's Name_________________________________________Regis. #_________________

Sire's Sire __________________________________________Regis. #_________________

Sire's Dam _________________________________________Regis. #_________________

Dam's Name ________________________________________Regis. #_________________

Dam's Sire__________________________________________Regis. #_________________

Dam's Dam_________________________________________Regis. #_________________
  (Please include any other known pedigree information on the back of this page.)

Owner’s Name _____________________________________________________________

Owner's Address____________________________________________________________

Breeder’s Name ____________________________________________________________

Breeder’s Address __________________________________________________________

Breeder's Phone____________________________________________________________

 I hereby certify that to the best of my belief and knowledge, the information on this application is true and correct:
 Signature ________________________________________________Date_____________

Attach a clear photo of this sheep, and include $5.

copyright 2005 NABSR All rights reserved. Form date 1/05.