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MASTIFF STUD SERVICE APPLICATION FORM
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AKC REG NAME OF BITCH: _________________________________________________________
AKC REG #:_________________TITLES:_________CALL NAME: __________________________
D/O/B: ____________COLOR:_____________ HEIGHT: ___________WEIGHT:_______________
ALL OWNERS(S) NAMES: ___________________________________________________________
ADDRESS: _______________________________________________________________________
_______________________________________________________________________
TELEPHONE #: ______________________________ E-MAIL:_____________________________
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HEALTH TESTING INFORMATION
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HIPS (check one):
[ ] OFA prelim [ ] OFA permanent [ ] PENN HIP
OFA# and rating: _______________ Penn Hip rating & DI index #'s:________________
ELBOWS (check one):
[ ] OFEL [ ] X-rayed [ ] Unknown [ ] OFA x-ray with notations
OFEL and/or prelim application/comments #: _____________________________________
THYROID (check one):
[ ] Normal [ ] High [ ] Low [ ] Unknown
VWD (check one):
[ ] Tested [ ] Unknown
VWD AG # :_______________( normal range is 70 to 180 %)
PATELLARS (check one): [ ] OFA [ ] unknown OFA#: ____________________________
HEART (check one): [ ] OFA [ ] Unknown OFA#:____________________________________
CYSTINURIA (check one): [ ] UPenn [ ] Unknown: ________________________________
EYES (check one): [ ] CERF [ ] Exam with notations [ ] Unknown
NOTES:__________________________________________________________________________
PRA DNA:________________________________________________________________________
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CONFORMATION INFORMATION
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PLEASE CHECK *ONE* RESPONSE IN EACH CATEGORY
MASK: [ ] none [ ] partial [ ] standard
EARS: [ ] black [ ] lighter [ ] long [ ] short
COAT: [ ] short [ ] medium [ ] long [ ] very long
WHITE MARKINGS: [ ] none [ ] chin [ ] face [ ] chest [ ] feet [ ] other
NAILS: [ ] All black [ ] Some white
ANGULATION: [ ] Over angulated [ ] Moderate [ ] Straight [ ] Very straight
EYE COLOR: [ ] Light [ ] Amber, [ ] Medium [ ] Dark
BITE: [ ] Overshot [ ] Scissors [ ] Level [ ] Reverse scissors
[ ] Slightly undershot [ ] Undershot [ ] Wry
BONE SIZE: [ ] Small [ ] Medium [ ] Large [ ] Huge
TAIL: [ ] Short [ ] Reaches to hocks [ ] Longer than hocks [ ] kinked
[ ] High set [ ] Low set [ ] Gay
PLEASE DESCRIBE HER STRENGTHS, WEAKNESSES AND TEMPERAMENT:
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HOW MANY LITTERS HAS SHE PRODUCED ? ____________________________________________
WHEN WAS HER LAST BREEDING ? ___________________________________________________
HOW MANY OFFSPRING DOES SHE CURRENTLY HAVE ? ___________________________________
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3 GENERATION PEDIGREE
(YOU MAY ATTACH PEDIGREE COPY INSTEAD)
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SIRE : _________________________________________________________________________
GRAND SIRE: ____________________________________________________________________
GRAND DAM: _____________________________________________________________________
DAM:____________________________________________________________________________
GRAND SIRE:_____________________________________________________________________
GRAND DAM: _____________________________________________________________________
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