Billings Animal Family Hospital - Canine Reproduction Application Form

1
Name* This field is required.
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2
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3
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4
Phone Number
Area Code
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5
What breed do you want assistance with?
Affenpinscher
Afghan Hound
Africanis
Aidi
Airedale Terrier
Akbash Dog
Akita Inu
Alangu Mastiff
Alano Español
Alapaha Blue Blood Bulldog
Alaskan Klee Kai
Alaskan Malamute
Alaunt
Alopekis
Alpine Dachsbracke
Alsatian Shepalute
American Akita
American Bulldog
American Cocker Spaniel
American Eskimo Dog
American Foxhound
American Hairless Terrier
American Mastiff
American Pit Bull Terrier
American Staffordshire Terrier
American Water Spaniel
Anatolian Shepherd Dog
Anglo-Français de Petite Vénerie
Appenzeller Sennenhund
Argentine Dogo
Ariege Pointer
Ariegeois
Armant
Artois Hound
Australian Bulldog
Australian Cattle Dog
Australian Kelpie
Australian Shepherd
Australian Silky Terrier
Australian Stumpy Tail Cattle Dog
Australian Terrier
Austrian Black and Tan Hound
Austrian Pinscher
Azawakh
Bakharwal Dog
Barbet
Basenji
Basque Shepherd Dog
Basset Artésien Normand
Basset Bleu de Gascogne
Basset Fauve de Bretagne
Grand Basset Griffon Vendéen
Petit Basset Griffon Vendéen
Bavarian Mountain Hound
Beagle
Beagle-Harrier
Bearded Collie
Beauceron
Bedlington Terrier
Belgian Shepherd Dog
Belgian Shepherd Dog (Groenendael)
Belgian Shepherd Dog (Laekenois)
Belgian Shepherd Dog (Malinois)
Belgian Shepherd (Tervuren)
Bergamasco Shepherd
Berger Blanc Suisse
Berger Picard
Berner Laufhund
Bernese Mountain Dog
Bichon Frisé
Billy
Bisben
Black and Tan Coonhound
Black and Tan Virginia Foxhound
Bullenbeisser
Black Norwegian Elkhound
Black Russian Terrier
Blackmouth Cur
Grand Bleu de Gascogne
Petit Bleu de Gascogne
Bloodhound
Blue Lacy
Blue Paul Terrier
Bluetick Coonhound
Boerboel
Bohemian Shepherd
Bolognese
Border Collie
Border Terrier
Borzoi
Bosnian Coarse-haired Hound
Boston Terrier
Bouvier des Ardennes
Bouvier des Flandres
Boxer
Boykin Spaniel
Bracco Italiano
Braque d'Auvergne
Braque du Bourbonnais
Braque du Puy
Braque Francais
Braque Saint-Germain
Brazilian Terrier
Briard
Briquet Griffon Vendéen
Brittany
Broholmer
Bruno Jura Hound
Bucovina Shepherd Dog
Bull and Terrier
Bull Terrier
Bull Terrier (Miniature)
Bullmastiff
Bully Kutta
Cairn Terrier
Canaan Dog
Canadian Eskimo Dog
Canadian Pointer
Cane Corso
Cão da Serra de Aires
Cão de Castro Laboreiro
Cão Fila de São Miguel
Carolina Dog
Carpathian Shepherd Dog
Catahoula Cur
Catalan Sheepdog
Caucasian Shepherd Dog
Cavalier King Charles Spaniel
Central Asian Shepherd Dog
Cesky Fousek
Cesky Terrier
Polish Greyhound
Chesapeake Bay Retriever
Chien-gris
Chien Français Blanc et Noir
Chien Français Blanc et Orange
Chien Français Tricolore
Chihuahua
Chilean Fox Terrier
Chinese Chongqing Dog
Chinese Crested Dog
Chinese Imperial Dog
Chinook
Chippiparai
Chow Chow
Cimarrón Uruguayo
Cierny Sery
Cirneco dell'Etna
Clumber Spaniel
Rough Collie
Smooth Collie
Combai
Cordoba Fighting Dog
Coton de Tulear
Cretan Hound
Croatian Sheepdog
Cumberland Sheepdog
Curly Coated Retriever
Czechoslovakian Wolfdog
Dachshund
Dalmatian
Dandie Dinmont Terrier
Danish Swedish Farmdog
Dingo
Doberman Pinscher
Dogue de Bordeaux
Dogo Cubano
Dogo Guatemalteco
Dogo Sardesco
Drentse Patrijshond
Drever
Dunker
Dutch Shepherd Dog
Dutch Smoushond
East-European Shepherd
East Siberian Laika
Elo
English Cocker Spaniel
English Coonhound
English Foxhound
English Mastiff
English Pointer
English Setter
English Shepherd
English Springer Spaniel
English Toy Terrier (Black & Tan)
English Water Spaniel
English White Terrier
Entlebucher Mountain Dog
Épagneul Bleu de Picardie
Estonian Hound
Estrela Mountain Dog
Eurasier
Field Spaniel
Fila Brasileiro
Findo[9]
Finnish Hound
Finnish Lapphund
Finnish Spitz
Flat-Coated Retriever
Formosan Mountain Dog
Fox Terrier (Smooth)
Wire Fox Terrier
French Brittany
French Bulldog
French Spaniel
Galgo Español
German Longhaired Pointer
German Pinscher
German Shepherd Dog
German Shorthaired Pointer
German Spaniel
German Spitz
German Wirehaired Pointer
Giant Schnauzer
Glen of Imaal Terrier
Golden Retriever
Gordon Setter
Grand Anglo-Français Blanc et Noir
Grand Anglo-Français Blanc et Orange
Grand Anglo-Français Tricolore
Grand Griffon Vendéen
Gran Mastín de Borínquen
Great Dane
Great Pyrenees
Greater Swiss Mountain Dog
Greenland Dog
Greyhound
Griffon Bleu de Gascogne
Griffon Bruxellois
Griffon Fauve de Bretagne
Griffon Nivernais
Gull Dong
Gull Terr
Hare Indian Dog
Hamiltonstövare
Hanover Hound
Harrier
Havanese
Hawaiian Poi Dog
Himalayan Sheepdog
Hokkaido
Hortaya Borzaya
Hovawart
Hungarian Hound
New Zealand Huntaway
Hygenhund
Ibizan Hound
Icelandic Sheepdog
Indian Spitz
Irish Bull Terrier
Irish Red and White Setter
Irish Setter
Irish Staffordshire Bull Terrier
Irish Terrier
Irish Water Spaniel
Irish Wolfhound
Istrian Shorthaired Hound
Istrian Coarse-haired Hound
Italian Greyhound
Jack Russell Terrier
Jagdterrier
Jämthund
Japanese Chin
Japanese Spitz
Japanese Terrier
Jonangi
Kaikadi
Kai Ken
Kangal Dog
Kanni
Karakachan Dog
Karelian Bear Dog
Karst Shepherd
Keeshond
Kerry Beagle
Kerry Blue Terrier
King Charles Spaniel
King Shepherd
Kintamani
Kishu
Komondor
Kooikerhondje
Koolie
Korean Jindo Dog
Korean Mastiff
Kromfohrländer
Kunming Wolf-dog
Kuri
Kuvasz
Kyi-Leo
Labrador Husky
Labrador Retriever
Lagotto Romagnolo
Lakeland Terrier
Lancashire Heeler
Landseer
Lapponian Herder
Leonberger
Lhasa Apso
Lithuanian Hound
Longhaired Whippet
Lottatore Brindisino
Löwchen
Magyar Agár
Majestic Tree Hound
Maltese
Manchester Terrier
Maremma Sheepdog
McNab
Mexican Hairless Dog
Miniature Australian Shepherd
Miniature Fox Terrier
Miniature Pinscher
Miniature Schnauzer
Miniature Siberian Husky
Mioritic
Molossus
Montenegrin Mountain Hound
Moscow Watchdog
Moscow Water Dog
Mountain Cur
Mountain View Cur
Mucuchies
Mudi
Mudhol Hound
Large Münsterländer
Small Münsterländer
Murray River Curly Coated Retriever
Neapolitan Mastiff
Newfoundland
New Guinea Singing Dog
Norfolk Spaniel
Norfolk Terrier
Norrbottenspets
North Country Beagle
Northern Inuit Dog
Norwegian Buhund
Norwegian Elkhound
Norwegian Lundehund
Norwich Terrier
Nova Scotia Duck-Tolling Retriever
Old Danish Pointer
Old English Sheepdog
Old English Bulldog
Old English Terrier
Old German Shepherd Dog
Olde English Bulldogge
Otterhound
Pachon Navarro
Paisley Terrier
Papillon
Parson Russell Terrier
Patterdale Terrier
Pekingese
Perro de Presa Canario
Perro de Presa Mallorquin
Peruvian Hairless Dog
Phalène
Pharaoh Hound
Picardy Spaniel
Plott Hound
Podenco Canario
Pointer
Polish Hound
Polish Hunting Dog
Polish Lowland Sheepdog
Polish Tatra Sheepdog
Pomeranian
Pont-Audemer Spaniel
Poodle
Porcelaine
Portuguese Podengo
Portuguese Pointer
Portuguese Water Dog
Pražský Krysarík
Pudelpointer
Pug
Puli
Pumi
Pungsan Dog
Pyrenean Mastiff
Pyrenean Shepherd
Rafeiro do Alentejo
Rajapalayam
Rampur Greyhound
Rastreador Brasileiro
Ratonero Bodeguero Andaluz
Rat Terrier
Redbone Coonhound
Rhodesian Ridgeback
Rottweiler
Russian Spaniel
Russkiy Toy
Russo-European Laika
Russell Terrier
Saarlooswolfhond
Sabueso Español
Sage Ashayeri[10]
Sage Mazandarani[11]
Sakhalin Husky
Saluki
Samoyed
Sapsali
Šarplaninac
Schapendoes
Schillerstövare
Schipperke
Old Croatian Sighthound
Giant Schnauzer
Miniature Schnauzer
Standard Schnauzer
Schweizer Laufhund
Schweizerischer Niederlaufhund
Scotch Collie
Scottish Deerhound
Scottish Terrier
Sealyham Terrier
Segugio Italiano
Seppala Siberian Sleddog
Serbian Hound
Serbian Tricolour Hound
Shar Pei
Shetland Sheepdog
Shiba Inu
Shih Tzu
Shikoku
Shiloh Shepherd Dog
Shirak[12]
Siberian Husky
Silken Windhound
Sinhala Hound
Skye Terrier
Sloughi
Slovak Cuvac
Slovakian Rough-haired Pointer
Slovenský Kopov
Smålandsstövare
Small Greek Domestic Dog
Soft-Coated Wheaten Terrier
South Russian Ovcharka
Southern Hound
Spanish Mastiff
Spanish Water Dog
Spinone Italiano
Sporting Lucas Terrier
St. Bernard
St. John's Water Dog
Stabyhoun
Staffordshire Bull Terrier
Stephens Cur
Styrian Coarse-haired Hound
Sussex Spaniel
Swedish Lapphund
Swedish Vallhund
Swedish Beagle
Tahltan Bear Dog
Taigan
Tamaskan Dog
Teddy Roosevelt Terrier
Telomian
Tenterfield Terrier
Thai Bangkaew Dog
Thai Ridgeback
Tibetan Mastiff
Tibetan Spaniel
Tibetan Terrier
Tornjak
Tosa
Toy Bulldog
Toy Fox Terrier
Toy Manchester Terrier
Treeing Cur
Treeing Walker Coonhound
Tyrolean Hound
Utonagan
Vizsla
Volpino Italiano
Weimaraner
Cardigan Welsh Corgi
Pembroke Welsh Corgi
Welsh Sheepdog
Welsh Springer Spaniel
Welsh Terrier
West Highland White Terrier
West Siberian Laika
Westphalian Dachsbracke
Wetterhoun
Whippet
White English Bulldog
White Shepherd Dog
Wirehaired Vizsla
Wirehaired Pointing Griffon
Yorkshire Terrier
6
What service are you interested in?
Infertility
Artificial insemination
Shipping semen
Freezing semen
Pregnancy diagnosis
Whelping questions
7
Why do you want to breed your dog?
8
When are you wanting to breed your dog?
9
Have you had experience breeding dogs before? If so, tell me more about that experience.
10
Have you done screening for genetic disorders including hips, elbow, and other conditions your breed may be predisposed to?
11
Are you willing to invest and commit to the process?
12
What is your plan for the puppies?
13
Describe the environment for where you will whelp and care for the puppies?
14
Do you have kids or other pets in the home?
15
Anything else you would like to share?
Should be Empty: