BITCH INFORMATION SHEET
*Must be filled out for every breeding, no exceptions*
Current Empress Stud Dogs
More detailed information can be found on www.empresslabradors.com
Empress Stud Dog Choice
"Dap Jr" - Ch. Empress You're Looking Very Dapper Too WC
"Flicker" - Empress Flicker of Hope
"Junior" - Empress Silver Lining JR DN, WC, BCAT
"Chaos" - Ch. Empress Pandemonium WC, BCAT
"Henry" - Empress Queijeiro O'Henry
"Cosmo" - Polish Ch. Cosmopolitan Bella Mare
Shipping Information
This is VERY Important. We cannot ship without this information. Please be sure it is accurate. The Bitch owner is responsible for all shipping charges including Shipping Kits and FedEx Charges. We only ship with Pure Pup extender please order everything at www.purepup.net
Contact Name
First Name
Last Name
Shipping Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
FedEx Account Number
It is FREE! and easy to set up with just a credit card. www.FedEx.com
Bitch Owner Information
Bitch Owner Information
First Name
Last Name
Kennel Name
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Website
Bitch Information
Registered Name
Call Name
Registered Number
Date of Birth
-
Month
-
Day
Year
Date
Color
Black
Chocolate
Yellow
OFA Hip Grade
*
Excellent
Good
Fair
Other
Other
OFA Elbow
*
Normal
Other
Date of Last OFA Eye Exam (needs to be current)
*
-
Month
-
Day
Year
Date
Eye Exam Result
*
Normal
Other
PRA
*
Clear
Clear By Parentage
Carrier
Affected
EIC
*
Clear
Clear By Parentage
Carrier
Affected
HNPK
*
Clear
Clear By Parentage
Carrier
Affected
Long Coat
Clear
Clear By Parentage
Carrier
Affected
Not Tested
Dilute
*
Clear
Carrier
Affected
Heart Clearance and email a copy to dawnnacey@gmail.com
Photo Of Girl
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Pedigree Upload
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Clearances Upload
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Heat Cycle & Breeding Details
Date Started Season
-
Month
-
Day
Year
Date
Progesterone Test & Results *
Date & Number
Progesterone Type
In House
Sent Out
Progesterone Lab
Date Kits ordered from PurePup
-
Month
-
Day
Year
Date
Breeding Method Planned
AI
TCI
Surgical Insemination
Other
Full Stud Fee Information
The stud fee is payable at the time of the breeding. If the bitch fails to produce a litter, rebreeds will be given within 2 years. If the original stud is no longer available for service, the bitch owner may choose any other stud dog, with an equal stud fee, owned by Empress Labradors. If the original bitch is no longer available to fulfill the breeding, another bitch may be substituted. There will be no refunds of stud fees.
Service Stud Fee Information
Pay Service Fee of $400.00 BEFORE any shipments are sent via Pay Pal or Venmo to Dawn Nacey. Balance is due 10 days after 2 or more puppies are born. Balance fees can be paid by check, Pay Pal, or Venmo all to Dawn Nacey.
Payment Information
Full Stud Fee - $2,500.00
Full Stud Fee Credit Card (+4%)
Full Stud Fee Cash
Repeat Breeding
Service Fee - $400.00
If Repeat Breeding
Date of Missed Breeding & Stud Dog Used
Submit
Should be Empty: