Wild West GSDCA Club Show, Breed survey

February 9-11, 2024.

SV Juergen Maibuchen

Dog Entry Information

Dog Full Name *

Gender *

Male
Female

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Microchip or tattoo *

Date of Birth *

Dog's birth country

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AKC Dog Registry #

SV Dog Registry #

Other Registry #

Does Dog Have Any Show Title? *

Yes
No

Highest Show Ranking *

Does Dog Have Any Working Title? *

Yes
No

Highest Working Ranking *

Breed Survey Rating

Breed Survey Date

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Hip Certification Rating *

Elbow Certification Rating *

Check Class Entering

Coat Length *

Stock Coat
Long Stock Coat

Handler Name

First

Last

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HOT

Yes
No

BHOT

Yes
No

Sire and Dam Information

Sire Full Name *

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Sire Registry *

Sire Reg # *

Does Sire Have Show Title? *

Yes
No

Sire Highest Show Rating *

Does Sire Have Working Title? *

Yes
No

Sire Highest Working Rating *

Dam Full Name *

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Dam Registry *

Dam Reg # *

Does Dam Have Show Title? *

Yes
No

Dam Highest Show Rating *

Does Dam Have Working Title? *

Yes
No

Dam Highest Working Rating *

Owner

Owner Name *

First

Last

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WUSV Organization

Owner's Member Number

Owner address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Owner Phone # *

Owner email *

Copy of your registration will be sent to this address

Co-Owner Name if Applicable

First

Last

Breeder

Breeder Name *

First

Last

Breeder Street Address

Breeder City

Breeder Zip Code

Breeder Country *

Breeder Phone

Breeder Email

Uploading Documents

Pediree link from database

We already have pedigree file in our database. Do you want to upload new one? *

Yes
No

Pedigree (must indicate dog’s tattoo/microchip number) *