1. This section is for the Owner of the sire (the owner is described as the owner of the sire at the time of service)

    Name    IKGA Number or Herd Prefix (if known)
    Address    City, State, Country     Zip
    Phone Number     Email

2. This section is to input information about the Sire

    Sire's name    Sire's IKGA Registration Number
    Sire's Classification New Zealand Fullblood Kiko American Premier Fullblood Kiko . Percentage Kiko American BoKi American MeatMaker International MeatMaker
    Tattoo (Right Ear)   Tattoo (Left Ear)   Microchip Number

3. This section is to input information about the owner of the Dam (owner of the dam at time of conception)

    Name of Owner of Dam   IKGA Number or Herd Prefix (if known)
    Address    City, State, Country    Zip    
    Phone Number   Email

4. This section is to input information about the Dam

    Dam's name    Dam's IKGA Registration Number    
    Dam's Classification New Zealand Fullblood Kiko American Premier Fullblood Kiko . Percentage Kiko American BoKi American MeatMaker International MeatMaker
    Tattoo (Right Ear)   Tattoo (Left Ear)    Microchip Number

5. Other comments

"I verify by indicating the appropriate box below that all information I have provided is true and accurate to the best of my
knowledge and that providing false information may result in my dismissal from the IKGA as set forth in the By-Laws.  If
not a member of the IKGA, I understand that my application may not be accepted for processing due to false and/or
incomplete information"

Signature ___________________________________