Owners Name *

First Name

Last Name

Kennel Affix of Bitch and KC Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Heart Tested - Full *

We will not consider using any of our boys on a bitch who has not undergone a three phase heart test. Stethoscope, electrocardiography (ECG) and echocardiography (ultrasound) carried out by a Veterinary Cardiologist.

Yes

No

First Heart Test Date *

MM

DD

YYYY

Second Heart Test Date *

MM

DD

YYYY

Third Heart Test Date

MM

DD

YYYY

Certificates

I confirm the certificates will be emailed, and acknowledge the application will not be processed without these certificates.

Yes

Estimated Date of Next Season

MM

DD

YYYY

Documents Required

Please send details and or copies confirming you have the certificates below and a copy of your Star Rating if you are Licensed.

Affix

Kennel Club Assured Breeder

Kennel License Issued by Local Authority

Kennel License Number In Date

Heart Test Certificates

Photos/Videos of the Bitch

Conditions

Payment of Stud Fee is required prior to mating

Bitch Staying for Mating incurs an extra charge of £30 per night.

Extra help with handling the bitch if required incurs an extra charge of £100 per mating

I agree to the Terms and Conditions