Dog Submission Form

Please enter data below then click the button to send the information to PWDCA HLD.

Submitter Information

To protect the integrity of the database, anonymous submissions are not accepted.

First Name: Required

Last Name: Required

Country:

Email: Required

Relationship to Dog:

Other owner/breeder information:

Litter Information

Country of Birth:

Birth Date: Year: Month: Day:

Sire Name:

Sire Registration #:

Sire Registry:

Dam Name:

Dam Registration #:

Dam Registry:

Dog Information

Check here if this is an update to a dog already in the database.

Registered Name:

Call Name:

Gender: Male Female

Repro Status:

Registration #1:

Registry #1:

Registration #2:

Registry #2:

DNA Profile #:

DNA Registry :

Available at Stud: Yes No

Frozen Semen: Yes No

Microchip:

Tattoo:

Coat Color:

Coat Type:

Marking: Marking Pct: %

Ticking: Yes No

Rescue Type:

Documents

Upload Registration or Pedigree:

Upload Additional Document:

Comments/Instructions