| Your Name | |
Your Email | |
| This is a |
(If updating, you do not need to fill in all fields about the dog, just what is being updated, and the dog's name of course!)
|
| Name | |
DOB | mm yy |
| Sire | |
Dam | |
| CERF |
mm/yy
Details on Breeder Options or Failed results |
Patella |
N or Grade, <1 for preliminary |
| prcd-PRA | |
Joints |
H = Hips, E = Elbow, S = Shoulder
LCP = Legg Calve Perthes
N or Grade |
| PLL | |
Cardio |
N, Murmur, Other |
| ERG | |
Thyroid | |
| Glaucoma | |
vWD |
N, C, A *default |
BAER | |
Other |
Any other comments that don't fit in to the fields above
(d), (†), († acc) |
| Owner | Owner:
Kennel:
Country: |
Co-Owner | Co-Owner:
Co-Kennel:
Co-Country: |
| Supporting Files |
Attach an image (jpg, png or gif) that are less than 500kB each, to prove your health testing. You can email additional files if needed after you submit this form. |
|
