Stud Service Request Form
Please complete as much information as possible and please upload pictures of your female, and any health testing and DNA results.
Date
-
Month
-
Day
Year
Date
Owner Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Secondary Phone:
*
Please enter a valid phone number.
Email
*
example@example.com
Co-Owner Information (if applicable)
First Name
Last Name
Co-Owner Phone (if applicable)
Please enter a valid phone number.
Co-Owner Email
example@example.com
Please enter information about your dog below
Dog Name
*
Dog name
Dog Date of Birth
*
Choose your dogs kennel club registry
*
AKC Registered
ABKC Registered
UKC Registered
Not Registered
Other
Kennel Club Registration number
*
If unknown type 0
Is there a co-owner for said dog?
*
If so, type full name of co-owner
If there is a co-owner, do you have full permission to breed said dog? Are you able to provide co-owner info to verify?
*
Please type your response, if it does not apply, type N/A
How many litters has your dog had?
*
Type your answer
When did your dog come into heat?
*
Type your answer
Have you done progesterone testing to determine optimal levels of ovulation ? If so, when was the last test done, results, and vet information?
*
Type your answer
Any health conditions or concerns with your dog?
*
Type your answer
All Progesterone Testing, Artificial Inseminations & Surgical Inseminations are done at our vets office in Miramar, Fl. Are you traveling to Miramar, Fl or would you need semen shipped fresh or frozen to your veterinarians office for the breeding?
*
Type your answer
Which Stud are you interested in?
*
Niko the Black Tri French Bulldog
Magu the Blue Fawn French Bulldog
Bentley the Black Tri English Bulldog
Oreo the Blue Tri Merle (covered in white) English Bulldog
Do you have any questions for us?
*
File Upload
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Owner understands stud fee and shipping fee is due before semen can be shipped to the veterinarian
*
Type Full Name
Applicant represents and affirms, under penalty of perjury that the representations contained in this APPLICATION are complete, true, and correct.
*
Type Full Name
Please verify that you are human
*
Submit
Disclaimer:
We only do artificial, transcervical, or surgical inseminations with healthy females, through our veterinarians office and can ship frozen through our veterinarians cyrobank. All females must be healthy, have current progesterone results, and must be able to provided proof of ownership, pictures and video of dog.
Should be Empty: