American Cat Fanciers Association, Inc.

HOUSEHOLD PET RECORDING APPLICATION

Member Fee - $10.00 ~ Non-Member Fee - $13.00

Name of Cat ____________________________________________________________ Sex: Male ______ Female ______

Owner’s Name  ______________________________________________________________________________________

Address ____________________________________________________________________________________________

City ________________________________________ State/Prov/Country  ______________________ Zip _____________

Phone ______________________________________  Email _________________________________________________

Certification:  The above named cat was “surgically sterilized” (altered) on _____________________________________ by

_______________________________________________________     _________________________________________

                      (Name of Vet)                                                                                                      (Signature of Vet)

NOTE: All “Adult” Household Pets over 8 months old MUST be altered to be recorded.

MIXED BREEDS ONLY

Longhair Cat  _____________ Shorthair Cat  ______________ Date of Birth __________________________________

                                                                                                                                                       (Approximate Age If Unknown)

Circle BEST description of coat pattern:  Solid Color (all one color with no more than a white locket), Tabby (light and dark striped), Bicolor (2 colors one of which is white), Particolor (tabby pattern and white or 2 or more solid colors with white or 3 or more colors with no white, Pointed (like Siamese – dark mask, ears, feet and tail).

Coat Color Description ________________________________________________________________________________

+ + + + + + + + + + + + + + + + + + + +

PUREBREDS ONLY

Breed _______________________________ Color _________________________________________________________

Was this cat “individually registered” with ACFA?        Yes __________     No ___________

Was this cat “litter registered” with ACFA?                     Yes __________     No ___________

ACFA Litter Number ____________________  ACFA Registration Number _______________________________________

(NOTE: If this cat has been “individually registered” with ACFA, the Certificate of Registration MUST accompany this application, to be surrendered to ACFA’s permanent files.)

Breeder’s Name _____________________________________________________________________________________

Breeder’s Cattery Name _________________________________________ ACFA Cattery Number ___________________

NOTE: If Breeder’s Cattery Name is to be used as a “prefix” to the cat’s name, the Breeder MUST sign the following authorization.

As the above named Breeder of the Purebred Household Pet to be recorded, I hereby authorize my ACFA Registered Cattery Name to be used as a “Prefix” to the Cat’s Recorded Name:

Breeder’s Signature _______________________________________________  Date ______________________________

ACFA – The Friendly Association!

PO BOX 1949 ~ NIXA, MO 65714

Ph: 417/725-1530 ~ Fax: 417/725-1533 ~ Email: acfa@aol.com ~ Website: www.acfacat.com

American Cat Fanciers Association, Inc.

HHP APPLICATION INSTRUCTIONS

Please PRINT or TYPE all information on this application:

1.     Name of Cat: Enter the name of the Household Pet (HHP) to be recorded with ACFA. Name can be no longer than 35 letters, spaces and characters. If a prefix Cattery name is to be used, the owner of the Cattery MUST sign this application.

2.     Male/Female: Indicate the sex of the cat.  If it is a sterilized (altered) adult, check the ‘Male’ for Neuter or the ‘Female’ for Spay.

3.     Owner’s Name/Address: Print the name and complete address of the owner of the cat exactly as you want it listed on the Recording Certificate.

4.     Certification:  ALL ADULT CATS (8 months or older), whether mixed breed or purebred, MUST be altered before they may be recorded with ACFA. Complete the information requested concerning the date and name of the Veterinarian/Clinic that performed the surgery. Either the Veterinarian or owner of the cat must sign the certification.

5.     Mixed Breeds Only:

a.     Check one of the spaces noting whether the cat is longhair or shorthair.

b.     Complete the date of birth. Approximate age if actual date of birth is unknown.

c.     Color Pattern: Circle only one description that best portrays the pattern of your cat. Solid Color – might be all white, or all one other color such as black, blue (gray) red or cream and they may have one small locket of white. Tabby – alternating stripes of light and dark (brown/black is a brown tabby, light/dark blue (gray), light/dark red (orange), light/dark cream. Bicolor – one color with white, usually white stomach and/or bib and feet, NOT just a locket of white. Particolor - or more colors, any color tabby with white, or two solid colors with white or 3 colors with no white. Pointed – lighter body color with darker mask, ears, feet and tail. If a cat has Siamese-type coloring and white, it would be considered a Particolor – 2 colors and white.

d.     Coat Color – Basic colors such as Red with White Patches, Cream, Red and Black, White with Red Patches. In the cat fancy, orange is Red and Gray is Blue.

6.     Purebreds Only:  All information can be obtained either from the breeder or the Certificate of Registration.
Breed and color must be filled in completely so the cat may be properly coded.

CAT HAVEN SUFFIX APPLICATION

Please PRINT or TYPE all information.

I/We hereby apply for a CAT HAVEN suffix for use on such Household Pets as we choose to record with ACFA. I/We agree to abide by the rules as follows: The CAT HAVEN name registered to me may never be used as a prefix. It may be used only as a SUFFIX on such cats as are recorded with ACFA as HHPs and owned by me or members of my household. All cats having the CAT HAVEN suffix as part of their recorded name MUST BE altered on or before they reach 8 months of age. Pedigreed cats may carry the CAT HAVEN name as a suffix – only if registration certificates are surrendered and they are recorded as HHPs.

Signed _______________________________________________________ Date _____________________________

Cat Haven Name is limited to no more that 15 characters including spaces.  Please list more than one choice in case of duplication of name:

1. ___________________________  2. _____________________________ 3. _______________________________

Owner _____________________________________________________ Phone ______________________________

Address ________________________________________________________________________________________

City/ST (Prov/Country) /Zip _________________________________________________________________________

All Fees (US Funds Only) must accompany application. Visa, Mastercard or Discover accepted. Fees effective May 1, 2003:

                                                                        ACFA Member                        Non-Member

CAT Haven Name                                            $35.00                                       $38.00

HHP with CAT HAVEN Suffix                          $13.00                                       $16.00

Adding CAT HAVEN Suffix to HHP

  Already Recorded with ACFA                       $10.00                                       $10.00

ACFA – THE FRIENDLY ASSOCIATION!

PO Box 1949 ~ Nixa, MO 65714-1949

Ph: 417/725-1530 ~ Fax: 417/725-1533 ~ Email: acfa@aol.com ~ Website www.acfacat.com