Application for Animal Registration

Name of Animal to be Registered *

We recommend using your ranch name/brand abbreviation as a prefix or suffix to assure no two animals have exactly the same name.

Sex *

Date of Birth *

Image of Holding Brand

Click or drag a file to this area to upload.

Location of Brand on Animal *

Owners are responsible for replacing lost ear tags.

Private Herd Number *

Side of Animal where the Private Herd Number is Located *

Location of Private Herd Number *

Color Description *

Name of Sire *

Please provide pedigree information if known. If unknown, please provide any known herd history, (Where was your animal purchased?).

Sire's Holding Brand

Click or drag a file to this area to upload.

Please provide image if known.

Sire's Private Herd Number (if known)

Sire's CTLR Registration Number (if registered)

Name of Dam (if known)

Please provide pedigree information if known.

Image of Dam's Holding Brand (if known)

Click or drag a file to this area to upload.

Dam's Private Herd Number (if known)

Dam's CTLR Registration Number (if registered)

Name of Owner of Animal *

This may be the name of an individual, family, ranch or business name.

Owner's CTLR Membership Number

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Breeder Name (if different from owner)

First

Last

Breeder's CTLR Membership Number