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Submission

 
White Shepherd Genetics Project
Health Clearance Submission Form

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You may only submit data for:

a)    Dogs that you own and/or     

b)    Pups parented by a dog that you own

* Required Fields

 

 

 

Your Full Name:*

Full Address:*

Email(s): *

Phone(s):*

Registered owner of dog (co): *

Registered Name of Dog: *

Date of Birth of Dog:*

 

Gender:

Call Name:

Color (white/white-factored/colored):

Registered Name of Sire:

Sire's Call Name:

Color (white/white-factored/colored):

Registered Name of Dam:

Dam's Call Name:

Color (white/white-factored/colored):

Hips certified by (OFA, PennHIP, OVC, Other):

Hip Eval Date:

Age of Dog When Eval:

Elbows certified by (OFA, PennHIP, OVC, Other):

Elbow Eval Date:

Age of Dog When Eval:

List any other health clearances:

Clearance Date:

Age of Dog When Cert:

Please add important comments.

 

 
 White Shepherd Genetics Project
Health Clearance Submission Form
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  White Shepherd Genetics Project
Health Clearance Submission Form
"