Hundedaten

Berner-Garde Database Dog Submission Form
Submitter Info (required)
Name, Vorname:
Adresse/Straße:
Adresse/Ort:
Adr.Bundesland:
Telefonnummer:
Email-Adresse:
Name:
Address:
City:
State / Prov:
Phone:
Email:
Postleitzahl:
Heimatland:
Postal Code:
Country:
Beziehung des Dateneingebers zum Eigentümer oder Züchter
If Submitter is not Owner or Breeder, please explain:
If this is an update to a dog already in the Berner-Garde Database, click the checkbox here, enter the dog's
registered name and then enter only the data to be added or changed, including owner and breeder info.
Owner Info (Where the dog lives) Check to use Submitter Info:
Miteigentümer:
Name:
Address:
City:
State / Prov:
Phone:
Email:
Co-Owners
(if any):
Postal Code:
Country:
Breeder/Litter Info (Please provide as much information as possible) Check to use Submitter name & address:
Breeder Name:
Address:
City:
State / Prov:
Phone:
Email:
Sire Registered Name:
Sire Call Name:
Dam Registered Name:
Dam Call Name:
Litter Birth Date:
Postal Code:
Country:
Vollständiger Name des Rüden (Vater des anzumeldenden Hundes)
Sein Rufname
Vollständiger Name der Hündin (Mutter des anzumeldenden Hundes)
Ihr Rufname
Year:
Month:
Day:
Sire Reg #:
Seine Zuchtbuchnummer
Dam Reg #: Ihre Zuchtbuchnummer
Geburtstag des anzumeldenden Hundes (Monatsname englisches Kürzel)
Dog Info
Berner-Garde Dog ID:
Registered Name:
Call Name:
Registration #:
Registration #2:
Ltd Registration:
Spayed/Neutered:
Frozen Semen Avail:
Tattoo:
Tattoo Description:
Microchip:
Chip Number:
Umbilical Hernia:
Dog Height:
Eye Color:
Coat:
Health Info
Gestorben (j/n):
Todesursache:
Tierarzt:
Deceased:
Cause of Death:
Veterinarian:
Other Health Info:
Tests/Certifications:
Wird erst nach Anmeldung vergeben
(optional but helpful)
Vollständiger Name des Rüden / der Hündin
sein/ ihr Rufname
erste Zuchtbuchnummer
aktuelle Zuchtbuchnummer
Yes
Yes
Yes
Yes
No
No
No
No
Tattoo-Beschreibung
Yes
No
Chipnummer
Yes
Widerristhöhe
Augenfarbe
Zeichnung
No
Sex:
Registry:
Registry 2:
DNA Registration #:
Date of Spay/Neuter:
Available At Stud:
Tattoo Location:
Chip Location:
Chip Registry:
Rescue Type:
Dog Weight:
Tail Set:
Bite:
Male
Female
Welches Zuchtbuch?
Welches Zuchtbuch?
Year:
Yes
Month:
No
Day:
What's This?
Wo ist das Tattoo zu finden?
Wo ist der Chip zu finden?
Wo ist der Chip registriert?
Gewicht
Trageweise der Rute
Biss
It is our goal to show all health data as diagnosed. In order to do this, we will need a copy of the vet or pathologists report.
This can be scanned and emailed, or faxed, or snail mailed. Please contact the Berner-Garde File Manager at
[email protected] in order to do so. Thank you in advance for taking the time to do this.
Yes
No
Year:
Month:
Day:
Eingeschläfert:
Please help!
Euthanized:
Yes
No
(please include address info if possible)
All tests and certifications must be verifiable. If they are not already on the OFA or CERF website, please arrange with
the File Manager to provide a copy. See the information above in the Health section of this submission form.
Date:
Type:
Evaluated By:
Results or Cert #:
Monat Tag, Jahr
Aug 7,2016
Was wurde untersucht ?
Elbows
Wo bestätigt?
Germany - VDH
Ergebnis
0 / 0 (BG = normal)
Titles Earned:
Additional Comments:
Championstitel
Weitere Kommentare
By clicking the "Submit Data" button below I am stating that the above data is correct and accurate to the best of my knowledge and that I voluntarily submit the above data for
entry into the Berner-Garde database.
I authorize release in accordance with Berner-Garde policies, including affected phenotypes at the time I owned the dog(s) and I authorize a Berner-Garde Site Operator to
contact me for data validation purposes.
I understand that phenotypes that were diagnosed after I relocated a dog are treated as "hearsay" information until verified with the current owner.
Please direct any questions or comments about this form to [email protected].

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