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APPLICATION FOR LITTER
BREEDING APPROVAL
DRENTSCHE PATRIJSHOND
"DUTCH PARTRIDGE DOG"
CLUB OF NORTH AMERICA, LLC
.
*
Indicates required field
Dam
Name of Dam:
*
Dam Birth Date:
*
Dam DPCNA Registration #:
*
Date of Current Eye Exam:
*
HD Result:
*
ED Result:
*
Sire
Name of Sire:
*
Sire Birth Date:
*
Sire DPCNA Registration #:
*
Date of Current Eye Exam:
*
HD Result:
*
ED Result:
*
Dam Owner Name:
*
First
Last
Sire Owner Name:
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Email
*
Kennel Name (if applicable):
*
Website (if applicable):
*
Has this dog been certified for breeding by the DPCNA?
*
Yes
No
Is this dog on any medication?
*
Yes
No
If yes, what medications?
*
Has this dog ever had an epileptic episode?
*
Yes
No
I don't know
Any seizure of any type.
Has the dog had a litter previously?
*
Yes
No
When do you expect the breeding to occur?
*
Are you a current DPCNA member? (please note this will be verified before any application approval)
*
Yes
No
Phone Number
*
Email
*
Kennel Name (if applicable):
*
Website (if applicable):
*
Has this dog been certified for breeding by the DPCNA?
*
Yes
No, dog lives in North America
No, this is a foreign stud (please upload documents for a foreign stud at the end of the form)
Is this dog on any medications?
*
Yes
No
If yes, what medications?
*
Has this dog ever had an epileptic episode?
*
Yes
No
I don't know
Has the dog sired a litter before?
*
Yes
No
Below are the items that must be submitted with this application:
Copy of Dam's Pedigree:
*
Max file size: 20MB
Dam Current Eye Result:
*
Max file size: 20MB
Head Photo Dam:
*
Max file size: 20MB
Standing side photo Dam:
*
Max file size: 20MB
Copy of Sire's Pedigree:
*
Max file size: 20MB
Sire Current Eye Result:
*
Max file size: 20MB
Head Photo Sire:
*
Max file size: 20MB
Standing side photo Sire:
*
Max file size: 20MB
Foreign Stud Documents
Sire Exterior Qualification:
*
Max file size: 20MB
Copy of Sire's HD certificate:
*
Max file size: 20MB
Copy of Sire's ED certificate (if applicable)"
*
Max file size: 20MB
All breeding approvals are valid for 6 months or until the most current eye exam result expires, whichever is sooner. If the cover is postponed, if no pregnancy occurs, or if the breeder wishes to advertise in advance of 6 months, then the application can be extended for an additional 6 months. This must be requested by contacting Brian O'Connor - dpcna.gundogs@gmail.com. There is no fee for this extension. If a different male is chosen, then a new application is required along with associated fee.
When the application is extended, it is important that you, the breeder, be aware of the period of validity of the eye examination for both the dam and sire. If necessary, it must be repeated to remain current (CAER exams valid for 12 months). At the time of the breeding there must be a valid eye examination for both dogs, otherwise the consent for breeding will be withdrawn.
Signed:
*
The above information is correct and I wish to submit this breeding for approval
Submit
Home
About the DPCNA
Join the DPCNA & Become a Member!
DPCNA Officers
News
>
February 2022 Membership Meeting
Club Bylaws
General News
Archived Newsletters & Articles
Annual Meeting Photos
Code of Ethics
Contact Us
The Drent
Frequently Asked Questions
Breed History and Field Use
Breed Standard
Breeding Requirements
Photos
Get Your Own Drent
DPCNA Approved Kennels
Litter Announcements
Drents for Sale/Rescue
The Drent Book!
Resources
Stud Owner Information
Getting Your Drent Approved for Breeding
e-Conformation Exam Request
Breeder's Education
Register Your Imported Drent with the DPCNA
Favorite Links
Breeder Login