Exemption request Special Exception Form To be used by GANA breeders who have special circumstances for missing health testing. Your Name* Name of Dog Involved* Birthdate of Dog Involved* Physical Health Testing Completed Select All Prelim Hips Final Hips Prelim Elbows Permanent Elbows Heart Patellas Date of Last Eye Certification* DNA Testing Completed Select All vWd prcd GRPRA1 GRPRA2 ICH DM NEWS Give details on why you are seeking a special exception. What is the reason why your litter is not qualified for registration with GANA?*