Application for Stud

Application for Stud

Texas Legacy Frenchies
Stud Requesting:
Dam Owner Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is your female in heat? If so, what date did she start?*
Dam Information
AKC Registered Name*
C all Name*
Birthdate*

MonthDayYear
Date
Do you co-own her?*

yesno
How many litters has she had?*
Additional Information I should know- ANY health issues? IVDD/Seizures/Bad Temperament/Long Tail etc. - If none, please put N/A*
Have you done her DNA Health Panel Testing?*

YesNo
How are you planning on breeding?*

TCISurgical A.I.Regular A.I.
Will you need the semen shipped? (S&H is additional $)*

YesNoI am not sure yet
Have you reviewed our contract?*

YesNo
Do you agree to send me a copy of her AKC Registration?*
Please initial
Do you agree to send me a copy of her DNA Health Panel Testing?*
Please initial
Do you agree to keep me in the loop after each progesterone test so we can make sure that this can be a successful breeding for you?*
Please initial
How do you plan to pay for the Stud Fee?*
Signature*

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Dam Owner Information