ISGR-DNA

Print this form for registering dogs with the Irish Setter Genetic Registry

Irish Setter Genetic Registry DNA Application
This form is to be used to register dogs that have been blood tested by Optigen and found to be genetically clear..

Instructions for filing a DNA application:
Effective August 1, 2004, no Irish Setters can be registered with the Irish Setter Genetic Registry unless they have one of the following types of information on their dog to be registered. All dogs already registered with ISGR are not affected.

1. DNA Identification Certificate from AKC- copy sent with application
2. Microchip : Must include type of microchip & number
3. Tattoo: Must include number used

1. Fill out and sign this application.
2. Submit a legible, 4-generation pedigree of the dog for which application is being made and identification information    (above).
3. Enclose the application fee of $7.50 payable to OFA.
4. Submit a copy of dog's AKC registration
5. Submit a copy of the dog's Canine DNA Registry Certificate.
6. Send application, pedigree, check and DNA certificate to:
     ISGR
     c/o OFA
     2300 E. Nifong Blvd.
     Columbia, Missouri 65201

Registered name:____________________________________________________________

AKC registration Number: ____________________________________Sex:_____________

Date of birth: ______________ Tattoo/Microchip #: ________________________________

Owner: ___________________________________________________________________

Address:_______________________________ City/State/Zip:________________________

Phone ( )______________________ Email __________________________________

Owner's Statement

I HEREBY CERTIFY THAT THE REGISTRATION INFORMATION GIVEN ABOVE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I AM THE AKC RECORDED OWNER OF THIS IRISH SETTER. If this dog is eligible for assignment of an ISGR certification number, I grant permission to the OFA. to publish this information. I agree that certification records are open to inspection by any person so authorized by the ISGR. I agree that the ISGR, Inc. has the right to rescind any certifications for any reason, without refund of certification fees.

Owner's Signature:__________________________________ Date: __________