Old English Sheepdog Pedigree Database Submission Form

Old English Sheepdog
Pedigree Database Submission Form

Your information is very important to us, please do not let the number of fields in this form be intimidating or make you hesitant to use the form. Only a few fields are required *. We ask your input only for those items that you can answer accurately.

The form and submitter...

The Dog...

Registered Name:	(Call Name if not registered)
Title Prefix:	(AM CH, AU CH, etc.)
Title Suffix:	(ROM, CD, UDX, etc.)
Call Name:
Sex:	Male Female
Date of Birth:	(Date mm/dd/yyyy)
Dog is:	Alive Deceased
Date of Death:	(Date mm/dd/yyyy)
Cause of Death:
Registration No.:
Registry:	(AKC, CKC, etc)
Country of Origin:
Studbook No.:
OFA Hips Registry No.:
OFA Elbows Registry No.:
CERF (Eyes) No.:
CERF Date:	(Date mm/dd/yyyy)
DNA Registration No.:
Microchip / Tattoo No.:

The Sire...

Registered Name:	(Call Name if not registered)
Date of Birth:	(Date mm/dd/yyyy)
Registration No.:
Call Name:

The Dam...

Registered Name:	(Call Name if not registered)
Date of Birth:	(Date mm/dd/yyyy)
Registration No.:
Call Name:

The Owner...

Name:
E-mail Address:	(E-mail)
Website Address:	(URL)

The Breeder...

Name:
E-mail Address:	(E-mail)
Website Address:	(URL)

Other submission options...

Scanned Pedigree File Upload:
Other File Upload (exp. Registration Cert.):
Other File Upload (exp. OFA Cert.):
Photo of Dog File Upload: Displayed in www.furcertain.com pedigrees only
The above filenames should contain no spaces or special characters, only the letters Aa-Zz, numbers 0-9, period (.) and underscore (_).
How do you plan to get your information to us:	This Form Pedigree File Upload Fax (262) 252-2519 Mail (Postal Service) Multiple of above
Date of Fax or Mail:	(Date mm/dd/yyyy)

The OESCA Health Registry would appreciate a copy of the registration papers for your dog for our pedigree service.

This is important to us to verify that all the information for your dog is accurate in our database according to AKC, CKC, or any foreign registry.

Please send to

Chris Lawrenz
N64 W20708 Mill Road
Menomonee Falls, WI 53051

OR Fax to 262-252-2519 (This is a private fax)
OR scan and attach it to your submission

Thank you for your help.

Show me that you really are a human being...

Type the characters you see in the picture below.

Any personal information you provide is for OESCA (and www.furcertain.com) use only and will not be released to any outside organization or person.

However information related to the "Dog" will be available to the public by way of the online pedigree database.

Note: uploading your scanned pedigree and certificates is an excellent way to get your information to us.
We suggest you scan at 200 DPI or higher and save the JPEG (.jpg) image with medium to high quality (70-90%). Images saved in TIFF (.tif) format are also accepted, as are PDF's (.pdf).

Photo's - preferably the shortest side at least 640 px.