New Breeder Application
Please fill in and return all pages
Membership No: / Name/Joint Names:
Home Address: Please attach proof of residence.
Prefix:
Note: Fill in New Prefix Form if not the current owner of prefix or supply copy of prefix. / Phone:
Mobile
Email:
Breeds:
Referee/s (1 or more of the following) / Name and signature
Veterinarian
Another breeder
Breeder from which the kitten/cat was purchased
Are you registered with any other cat council?
How long have you been breeding cats
If a new breeder do you have a cat breeder mentor? (someone who has been breeding for a number of years who will help and advise you)
If so name address and prefix of mentor.
ALL NEW BREEDERS WILL BE ON PROBATION FOR A PERIOD OF 12 MONTHS
Code of Ethics: http://www.fccqinc.org.au/forms/FCCQ_CodeofEthics.pdf?option=com_content&view=article&id=102&Itemid=107
Once your fees have been paid and your application has been approved and processed, you will be issued with a Breeder's ID Card which is your licence to breed pedigree cats. Your Breeder's Number should be used on all your correspondence. The Breeder's ID Card remains the property of FCCQ Inc. and must be surrendered as soon as practicable when you are requested in writing to do so.
Tick the box to the right if you do not wish your contact details to be listed on the breeder’s page of the Council’s website
Refer also to Information for New Breeders from the FCCQ Inc. website
Please attach a copy of all cats/kittens owned by you. (Please attach a copy of their current registrations/pedigree).
Fees: / Each / TOTAL
Joining Fee (includes Prefix Application & Breeder's Registration Card) for new and transferred Prefixes / $20.00
Annual Breeder’s Registration Fee to December 31st for all Prefixes / $25.00
Banner Advertising / $30.00 (optional)
Transfer of Cats/Kittens / $5.00 each
Total: / $
Declaration to be signed by Breeder/Joint Breeders:
I/We hereby make application for my/our registration as a Breeder with the Feline Control Council of Queensland Inc. (FCCQ) licensed for the Breeds listed below, under the approved Prefix (which will be notified to me/us should my/our applications be successful). In order to breed pedigree cats I understand that my Prefix must be used in the naming of all cats I breed as a Cattery PREFIX, to be used preceding the names of cats which will be bred by me/us and/or as an AFFIX to be used following the Registered Names of those Cats not bred by me but transferred into my name for use in my/our breeding program. I/We make this application on the understanding that I/we are required to register all kittens in all litters bred by me/us, to remain financially current as an FCCQ registered Breeder each year and thereby be bound by the Constitution, By-Laws, Rules and Regulations of the Feline Control Council of Queensland Inc. and of any decisions of the Management Committee. I/We have read, understood, and agree to abide by the Code of Ethics for Hobby Breeders.
Signed: / Date:
Signed: / Date:
Please mail completed form & full payment by Cheque/Money Order made out to FCCQ Inc. to:
FCCQ Membership Officer; PO Box 800, PARK RIDGE, QLD 4125.
Fees can also be direct-deposited to Bank of Queensland A/C Name: Feline Control Council of Qld Inc., BSB 124-057 A/C No. 22002154.
Please add "Surname (or Prefix) – Registrations" to all deposits so that payments can be identified and receipted.
Rev A 150130
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