Heaven's Gate

For our beloved German Shepherd Dogs that have passed on
(A database to further research in determining the cause of death in the German Shepherd Dog)

Please click here to view the database without making an entry

Please fill in all fields below and then press the 'Submit Form' button

Thank you so much for stopping by to fill out this form. Please see these instructions for general assistance on filling out this form. After successfully submitting your entry, you will be taken to the list of entries and yours will be at the top. All entries must be confirmed within 24 hours; please see here for further details. Information on any German Shepherd Dog may only be submitted here with permission of the owner of the dog in question; if you were not the actual dog owner, please seek their permission BEFORE taking this survey - thank you. This database includes German Shepherd Dogs of all ages from birth to death; each German Shepherd pup that did not survive puppyhood must be input as a separate entry. Please note that your IP address (38.107.191.82) will be recorded, although this will only be available to site administrators.

Please do not enter any other breed than the German Shepherd Dog into this database.

Your Name

E-mail Address

Please re-enter
E-mail Address

City/State

Country

Your website
home page

How did you get here?

Dog's Name

Dog's sex

Male Female

Dog's date of birth
(Use day XX if not known)

Dog's date of death
(Use day XX if not known)

Sire (Registered
Kennel Name)

Not Known

Dam (Registered
Kennel Name)

Not Known

What types of food
was your dog fed?

Kibble/Dry Baked

Kibble/Dry Regular (extruded)

Kibble/Dry Premium Grade

Kibble/Dry Human Grade

Canned Regular

Canned Premium Grade

Canned Human Grade

Raw

Homemade / homecooked

Artificial Preservatives

Artificial Colors

Artificial Additives

Food Supplements

Overall combo (multi-vitamins)

Antioxidants

Skin / Coat

Joint / Skeletal

Digestive

Muscle Enhancer / Conditioner

Please give details
of any vaccinations
your dog received

Parvo	Distemper	Rabies
Corona	Adenovirus	Bordatella
Lymes Disease	Leptospirosis

Vaccination type

The new vaccination
protocols encourage
titers; did you ever
use titers on this dog?

Yes No

Age the dog was
spayed/neutered

At age Age unknown Not done/NA

Health problems
during dog's life
Please indicate any health problems using the selection lists and use the text area to provide further information if appropriate. See here (new window) for a fuller description of some of the health problems.

Causes of Death
Please enter a cause of death using at least one of the selection lists, even if you have already listed it as a health problem. Use the text area to provide further information as appropriate.

Was the death related to these health problems?	Yes No
Was this dog euthanised?	Yes No

Breeder notified of
cause of death?

Yes No

Comments
(anything that might help)
You can enhance your
Comments in this area
by using HTML.
Just follow these instructions (new window).

Pedigree Website
(If unknown then
please leave this blank)

Pedigree Document
(If unavailable
please leave this blank)

Please either link to a pedigree if it is already on the Web or upload it from your own PC. If you do not have one, you can create one using a pedigree creation tool such as the Free Web Page Pedigree Generator at SitStay.com. They can e-mail the document to you; save the attached file from their e-mail to your Desktop and upload to Heaven's Gate using the Pedigree Document facility above.

Once you have successfully submitted your entry, you will receive a confirmation e-mail. This will contain instructions on how to confirm your database entry; for most users this will simply be a link you must click on in order to confirm your database entry.
For this reason, please ensure that you have entered a valid active e-mail address before submitting this form. An example of one of these e-mails can be seen by clicking here. Please read this IMPORTANT NOTE concerning automatic e-mails. The time limit for confirming your entry is 24 hours.

Automatic Response Prevention: Please type the letters displayed below into the text area. This is a measure to prevent automatically-generated submissions from succeeding. All letters must be typed in uppercase; there are no digits.

For AOL users to ensure you receive your validation e-mails, please add submissions@mzjf.info to your address book or look in your spam folder for your confirmation e-mail.

Please click here to view the database without making an entry

Music of the Night

A huge thank you and tons of hugs to Angus Cook for volunteering his time and efforts to get Heaven's Gate working once again. This could not have been accomplished without his help. We are most grateful for your help, Angus! :)

All material on this site, except where indicated, is © M. Zimmerman 2001-2004.
Please click here for a full legal statement (new window)