Section A: Breeder/Owner IdentificationBreeder Name:_______________________________________________________________________________________________ Owner Name:___________________________________________ Street/PO Box:_________________________________________ City:_________________________State____Zip______________ Phone:_________________email:__________________________ |
Office Use Only Fee:____________________ Pedigrees:_______________ Photos:_________________ Sire Classification:________ Dam Classification:_________ |
Section B: Litter Identification
Date of Birth____________No. of pups in litter_____Females_____Males_____Born Dead____
| Name 1. _______________________________________ 2. _______________________________________ 3. _______________________________________ 4. _______________________________________ 5. _______________________________________ 6. _______________________________________ 7. _______________________________________ 8. _______________________________________ 9. _______________________________________ 10._______________________________________ 11._______________________________________ 12._______________________________________ 13._______________________________________ 14._______________________________________ |
Sex ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ |
Color ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ |
If any pups died after birth please describe:
If this litter is in the DNA study at UM, please attach a copy of the litter form, and thanks for participating!
Mail completed Application to: