Your name^*

mailing address^*

phone number^*

email address^*

Are you over 18 years old?^*

Have you ever been suspended from the American Kennel Club or Canadian Kennel Club?^*

registered name of dam^*

registration number of dam^*

registered name of sire^*

registration number of sire^*

Are the Sire and Dam: parent-offspring, siblings?^*

date litter whelped^*

number of puppies whelped^*

registration number of litter^*

Has the dam had hip X-rays evaluated by OFA?^*

Have the dam’s eyes been evaluated by an ophthalmologist?^*

Has the dam’s thyroid test been done?^*

Is this your first litter of Afghan Hound puppies?^*