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Breeder Referral Litter Listing Form
 

This form is to be used to submit an expected litter to the PWDCA Breeders with Puppies List.  The form is intended for use by participating breeders in the PWDCA Breeder Referral Program.  It is easy to use.

Here are the instructions to help you along:

  • Please enter all information as submitter and for the Sire and Dam.
  • All fields have ample room for your information. Don't be concerned about truncating any information.
  • Tabbing between fields is recommended to facilitate navigating the form.
  • Do not hit the ENTER key until the form is completed. WAIT until you finish and review before “clicking” on SUBMIT
  • Be prepared to complete your entry before starting.
  • When you SUBMIT the form, a copy of your data will be Emailed to you as confirmation of delivery.
  • Include your Email address (required).
  • There is a checkbox to indicate if your submission is an update or correction to a prior submission. Check it, if appropriate.

For information about the PWDCA Breeder Referral Program,
please contact the Breeder Referral Services Coordinator:

Sandy Overton
1395 SE 8th Ave.
Oak Harbor WA 98277

Email: sandra.overton@verizon.net
Phone: 360-675-9539
Fax: 360-240-0292

Breeder Referral Litter Listing Form

SUBMITTED BY   
(Required)
Check here if this is a correction to a previously submitted registration
 (MM/DD/YYYY or MM/YYYY)
(An expected litter will be listed no sooner than four weeks PRIOR to the expected whelping date.)
   
SIRE  
(hips) (elbows)
(MM/DD/YYYY)
   
DAM  
(hips) (elbows)
(MM/DD/YYYY)
   
By clicking on the "Submit" button, you are electronically providing this information to the Portuguese Water Dog Club of America for input to the Breeder Referral Program.
 
(To start over)

Note: Please send an email if you have any problems with this form.

IMPORTANT: After the litter is whelped and the AKC registration documentation received, all dog information must be submitted to the PWD Litter Database in accordance with Paragraph 15 of the Breeder Agreement.

All Health and Litter information is now accepted through the online PWD Health and Litter Database.

The PWD Health and Litter Database Administrators are:

Health

Ginnie Santoli
176 Beech St
Islip, NY 11751-1205

Phone: ( 631) 277-0873
Fax: (631) 277-2423
       
Email: health@pwdca.org

Litter

Rita Hasel
N643 Wishing Well Lane
Fort Atkinson, WI 53538-9513

(920) 563-3587
(920) 563-9615

Email:  litter@pwdca.org


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Last Edited: April 30, 2007

 
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