American Teeswater sheepAssociationText Box: 429 W. US Hwy 30, Valparaiso, IN 46385-9207 Email:info@AmericanTeeswaterSheep.com Text Box: American Teeswater Sheep Association Registration Request Form Text Box: SHT# ____________ Text Box: For Office Use: REC’D ___________ CHECK # _________ Text Box: BREEDER: ______________________________________________________________FARM: _________________________________________________ ADDRESS: ___________________________________________________ CITY: ____________________________STATE: _________ ZIP: ______________ PHONE: __________________________________________EMAIL: ________________________________________________________________________ Text Box: Breeders signature ___________________________________________________ Date: ___/___/___ Text Box: Mail to: Barbara A. Kloese 429 West US Hwy 30 Valparaiso, IN 46385-9207 (219) 759-9665 Text Box: Tag# Text Box: % Text Box: Date of Birth Text Box: Name Text Box: AI OR NAT Text Box: Single Twin or Triplet Text Box: Color Text Box: TRANSFER TO: Text Box: ATSA# Text Box: SIRE: Text Box: Dam: Text Box: SIRE/DAM BREED Text Box: Breeder # Text Box: SIRE: Text Box: Dam: Text Box: SIRE: Text Box: Dam: Text Box: SIRE: Text Box: Dam: Text Box: SIRE: Text Box: Dam: Text Box: SIRE: Text Box: Dam: Text Box: SIRE: Text Box: Dam: Text Box: 1 Text Box: 2 Text Box: 3 Text Box: 4 Text Box: 5 Text Box: 6 Text Box: 7 Text Box: Each individual registration is $5.00. Each individual transfer is $5.00. Please sign and date your application. Include copy of test results at Codon 171 for registration of rams. To be registered, rams must be RR. Make checks payable to: Barbara A. Kloese, Registrar Text Box: Sex* Rams indicate Codon 171 Text Box: Codon 171: Text Box: Codon 171: Text Box: Codon 171: Text Box: Codon 171: Text Box: Codon 171: Text Box: Codon 171: Text Box: Codon 171: Text Box: * PLEASE NOTE-To register rams you must include proof of RR at Codon 171.