Planned Litter Pre-Registration Form
Name
*
First Name
Last Name
Membership Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
Kennel Prefix for Registration Name
Is This Litter Possibly Dual Sired?
Yes
No
Unknown
Name of Dam
*
Dam SCPS Registration Number:
*
SCPS-20XX-XXXX-XXX
How many SCPS Registered litters has this dam had?
How many litters with SCPS?
Dam's Expected Due Date
*
-
Month
-
Day
Year
Date Picker Icon
Sire SCPS Registration Number
*
Sire #1
Name of Sire
*
Sire #1
Sire's Owner
*
Sire #1
Sire SCPS Registration Number
Sire #2
Name of Sire
Sire #2
Sire's Owner
Sire #2
Dam and Sire Colors? White Factored?
*
Breeder's Transfer Code (Make one)
*
Height and Weight of Dam?
*
What is the Temperament of Dam?
*
What Activities does the Dam do? ie; herding, agility, rally, service, etc.
*
Height and Weight of Sire
*
What is the Temperament of Sire?
*
What Activities does the Sire do? ie; herding, agility, rally, service, etc.
*
How will this breeding bring us closer to SCPS goals?
*
What Scottish Collie traits should this litter have?
*
Photos of Sire and Dam
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Dams Genetic Testing
*
Rows
Clear
Carrier
Affected
Not yet tested
CEA
MDR1
DM (required for 2nd Litter)
CN (Required for 2nd Litter)
Sires Genetic Testing Sire #1
*
Rows
Clear
Carrier
Affected
Not yet tested
CEA
MDR1
DM (required for 2nd Litter)
CN (Required for 2nd Litter)
Sires Genetic Testing Sire #2
Rows
Clear
Carrier
Affected
Not yet tested
CEA
MDR1
DM (required for 2nd Litter)
CN (Required for 2nd Litter)
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