Beauceron Pedigree Database
Submit Dog Information

* Denotes Required Fields

* Purpose for submission:  New Dog    Change or Correction

* Your name:

* Your email address:

* Dog's full registered name (do not include titles)

* Gender:  Male (Mâle)     Female (Femelle)

* Color:     Noi. Mar. Fau (Blk/Rust)    Arlequin (Harlequin)

Registration number (LOF, LOSH, AKC)

Country where dog is Registered

Dog's call name (dit, dite)

Titles which PRECEDE this dog's name (ex. CH, CHCS, OTCH)

Titles which FOLLOW this dog's name (ex. Brevet Ring, CD, HS, AX)

Identification (Tattoo or Chip)

Date of birth (DD/Mon/YYYY format 27 JAN 2007)

January February March April May June July August September October November December

French Cotation

None (1) Confirme (2) 1er Choix (3) Excellent (4) Recommande (5) Elite B (6) Elite A

Breeder LAST Name (producteur nom)

Breeder First Name (producteur prénom)

Owner LAST Name (propriétaire nom)

Owner First Name (propriétaire prénom)

Pedigree: If this is a new dog, you MUST include the Sire & Dam (père & mère) for the pedigree to be displayed. You only need to enter additional information if it is not already in the database.

   M---------------| 
   |      
Sire:(M-père) 
   |     
   F---------------| 
   
         
   M---------------| 
   |    
Dam:(F-mère) 
   |     
   F---------------| 
         

Health Certifications:

Hip Rating (Dys A/A, OFA Good, HD A/B)

Elbow Rating (AD 0/1, OFA Normal, OD 1, ua)

CERF # (eye certification)

Other Health Certifications

Please specify any Addition, Correction, or any other information about this dog.

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This submission is for BEAUCERONS ONLY.