Dog Registration Your First Name * Surname * Member Number * Dog Registration Email * Phone Number * Breeder Prefix / Name Dog's Official Name (Breeder designated) Dog's Call Name * Sex/Gender * Select an option Female Male Date of Birth Date of Birth is Unknown * Yes No Microchip Number (15 digits) Has your dog been neutered? * Yes No Dam (Mother's) Name Sire (Father's) Name Dog's Role/Use (select all that apply) * Family Pet Working - Flushing and Upland Working - Retrieving Water and Land Working - Other Hunting Dog Trials - Retrieving Trials - Tracking Assistance Dog Other Dog Use: Other (please specify) Eye Colour Weight (kg) if over 2 years old Coat Type * Select an option Long Medium Short Curls * Select an option Tight Medium Loose Chest Blaze * Select an option None Thumbprint (Small) Blaze (a Stripe) Full Chest (Significant) Has your dog/bitch ever had puppies? * Yes No Outcross * Curly Coated Retriever Irish Water Spaniel Other No Outcross Other Outcross? Photo - Portrait (Under 2YO) Photo - Profile (Under 2YO) Photo - Portrait (Over 2YO) Photo - Profile (Over 2YO) Hip Score (if assessed) Elbow Score (if assessed) Has your dog been DNA tested? * Yes No Continue
