| This form is required if the STUD is owned by someone other than a GANA breeder. *The bitch owner must complete the BREEDER SECTION and the LITTER SECTION below. *The stud owner must complete the STUD OWNER SECTION below. *A copy of the sire’s registration certificate from AKC (or DNA/Genetic proof that the sire consists of only poodle, golden retriever, or goldendoodle from a recognized breed identification company as identified by GANA) must be submitted along with this form. |
BREEDER INFORMATION
BREEDER’S NAME _________________________________________
GANA MEMBER # _________________________________________
KENNEL NAME____________________________________________
PHONE NUMBER __________________________________________
LITTER INFORMATION
DAM’S NAME: _____________________________________________
GANA REG # _______________________________________________
BIRTHDATE/ANTICIPATED DOB ____________________________
STUD OWNER SECTION
By completing and signing this section you give the above Breeder permission to breed your stud with her dam and for the puppies to be registered with GANA. The STUD will not be registered with GANA but is entered into the GANA database so that his offspring’s records will show him as their sire. To be sure your stud is up to date on GANA’s required health testing requirements, a copy of each health testing document is required (see GANA ribbon levels for requirements). You are also giving GANA permission to track this information in the database for the purpose of retaining records. This information is not made public nor shared with other GANA members – the documents are solely kept in the registration office.
STUD OWNER’S NAME:________________________________________________
STUD OWNER’S KENNEL NAME & WEBSITE:
________________________________________________________________________
STUD OWNER ADDRESS:
________________________________________________________________________
PHONE NUMBER:______________________________________________________
EMAIL:_________________________________________________________________
STUD’S NAME: _________________________________________________________
STUD AKC #/ DNA COMPANY: __________________________________________
SIGNATURE OF STUD OWNER ________________________________________
DATE _______________________
