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How did you get here? |
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Dog's sex |
Male
Female
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Dog's date of birth (Use day XX if not known) |
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Dog's date of death (Use day XX if not known) |
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What types of food was your dog fed?
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Food Supplements
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Please give details of any vaccinations your dog received
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Vaccination type
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The new vaccination protocols encourage titers; did you ever use titers on this dog?
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Age the dog was spayed/neutered |
At age
Age unknown
Not done/NA
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Breeder notified of cause of death? |
Yes
No
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Was the OFA DM DNA test taken?
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Yes
No
Not known
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What was the OFA DM DNA test result?
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Clear
Carrier
At Risk
N/A
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Did this dog develop DM during its lifetime?
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Yes
No
Too soon to know
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If your dog did develop DM, but tested as Clear or Carrier, did you notify the OFA or Dr Coates?
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Yes
No
N/A
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Was a necropsy done on this dog?
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Yes
No
N/A
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Did this dog have progeny?
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Yes
No
N/A
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If this dog had progeny, how did the progeny test?
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Clear
Carrier
At Risk
N/A
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If the progeny of a clear to clear breeding tested carrier or at risk, did you notify the OFA or Dr Coates?
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Yes
No
N/A
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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.
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.
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