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... Purpose of this form: New Dog        (Dog is not in the database, I checked) Correction      (Database contains an error) Update           (Additional information) Add Photo      (Add Photo to existing dog) Your Name: Your E-mail Address: (E-mail) Your E-mail Address (repeat): * (E-mail) Your Phone No.: (Phone Number) Your Fax No.: (Phone Number) May we contact you if needed: Yes                 No Preferred method for contact: Email              Telephone        Fax        Any of the above      Other - Relationship to Dog: Breeder          Owner               Breeder & Owner                          Other - Comments:
The Dog... Registered Name: (Without Titles) (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.: CHIC No.: OFA No. - Hips: OFA No. - Elbows: OFA No. - Thyroid: OFA No. - Baer: OFA No. - Cardiac: CERF (Eyes) No.: CERF Date: (Date mm/dd/yyyy) MDR1 Test Results: Normal/Normal            Mutant/Normal            Mutant/Mutant Cancer: Auto Immune: Frozen Semen: Available for breeding            Restricted/Research use only DNA Registration No.: Microchip No.: Tattoo No.: Rescue Dog: Yes         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)
Photo, scanned pedigree & other submission options... NOTE: The filenames entered below should contain no spaces, apostrophes (') or other special characters, only the letters Aa-Zz, numbers 0-9, period (.) and underscore (_). Scanned Pedigree File Upload: Other File Upload (exp. Registration Cert.): Other File Upload (exp. OFA Cert.): Photo of Dog File Upload: Crop Photo: Would you like the photo cropped so only the dog is visible? Yes            No            Don't care	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)
Show me that you really are a human being... Type the characters you see in the picture above.

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.