Valais Blacknose Sheep Association of North America
RECORDATION APPLICATION
Phone: (785)456-8500 • PO Box 27, Sedalia,  MO  65302 • Fax: (785)456-8599 • Email: asregistry@gmail.com
2.	Breeder
(Owner or Lessee of Dam at Time of Mating)  	

www.valaisblacknose.org

Office Use
ONLY	4.
Name of Animal - Private Flock Tag	5.
Birthdate	6.
Sex R/E/W	7.
Birth Type	8.
VBN
%	9.
Codon 171	10.
DNA
Verified	11.
VBSANA
Reg #	12.
Name/Tag #	13.
VBN
%	14.
Codon 171	15.
DNA
Verified	16.
VBSANA
Reg #	17.
Name/Tag #	18.
VBN
%	19.
Codon 171	20.
DNA
Verified	21.
Breed	22.
Date of Sale	23.
If sold, To Whom & Address
(enclose transfer fee)	
Sample	Teton Francis TTN 18-02	3/2/18	R	TW	50	RR	Yes	82445	Wilson 50	100	RR	Yes	82446	Wilson 60	0	RR	Yes	Lincoln	5/1/19	James Thomas 45 W Brick Ln
Wamego, KS 66547	

																					

																					

																					

Animal to Be Recorded
1.	
Member #  	

Address
St. or Rt. 	City 	St 	Zip  	
3.	Owner
(Owner or Lessee of Dam at Time of Birth) 	 Address
St. or Rt. 	City 	St 	Zip  	
Sire	Dam	Transfer

ATTENTION
•	Owner of Dam at time of lambing must sign this application.
•	Please Check Work for Accuracy.
•	After Completion, Please Keep a Copy of this Form in Your File
•	Payment must accompany Registration, Refer to Fee Schedule for All Fees

24. Date             /           /  	
Daytime Phone 	 Evening Phone 	                                                                                      Fax Number 	 Email  		

25.	Signature of Owner or Lessee of Dam (time of lambing) 	 Applications completed by partnership must also bear signature of a person authorized to sign for account.
Signature above represents:
“The information here is correct to the best of my knowledge and belief”

RECORDATION APPLICATION INSTRUCTIONS
1.	Member number is assigned by registry.

2.	Breeder - the owner or lessee of Dam at time of mating.

3.	Owner - the owner or lessee of Dam at time of birth.

4.	Name of animal (lamb) - may use farm name plus a personal name.
2018 names must start with F. 2019 names must start with G. 2020 names must start with H.

5.	Private flock tag - may use Scrapie tag or select a 3-5 num- ber flock pre-fix with letters abbreviated from farm name (i.e. Teton is TTN) numbers may be year of date of birth and order of birth (i.e. 18-02, 2018 2nd lamb)

6.	Date of birth

7.	Sex - R for Ram, E for Ewe, W for Wether

8.	Birth Type - S for single, TW for twin, TR for triplet, Q for
quadruplet.

9.	VBN% - Valais Blacknose percent.

10.	Genotype at Codon 171 (optional) will be noted on pedi-
gree - RR, QR, QQ.

11.	DNA Verified (required) DNA instructions will be sent to you via email for hair collection, mail in instructions and a form to be filled out.

SIRE
12.	VBSANA Reg # - Number assigned to ram by VBSANA. Numbers will be listed on website
for approved rams.

13.	Name/tag # - Numbers will be listed on website for approved rams

14.	VBN % - Rams used through generation four (F4) must be 100%. NO crossbred rams will be accepted for breeding until generation five (F5)

15.	Genotype Codon 171 - Frozen semen rams will be RR or QR

16.	DNA Verified - All rams will be parent verified

DAM
17.	VBSANA Reg # - Number assigned to ewe by VBSANA. Foundation ewes will be assigned a
registry number.

18.	Name/Tag# - If no name, use farm name and tag number.

19.	VBN% - Foundation ewes are 0%

20.	Genotype Codon 171 - (optional)-May be RR, QR, QQ

21.	DNA Verified - Foundation Ewes this is required. All lambs F1 and higher it is REQUIRED
they be DNA tested at least one once. Wethers are NOT required to be DNA tested.

22.	Breed	• Breed of foundation ewe
i.	Purebred-list breed
ii.	Crossbred-list breeds
iii.	Unknown-Grade
•	Breed of crossbred-VBN/Other breed
23.	Date & Contact information.

24.	Signature of owner or lessee of Dam at time of lambing.