Dog Submission Form
Please enter data below then click the button to send the information to GSSHWWDB.
 
Submitter Information
To protect the integrity of the database, anonymous submissions are not accepted.
First Name:
Last Name:
Country:
Email:
Relationship to Dog:
If you are not an owner/co-owner, breeder or stud owner of this dog, please explain:
 
Litter Information
Kennel Name:
Country of Birth:
Birth Date: Year: Month: Day:   
Sire Name:
Sire Registration #:
Sire Country:
Dam Name:
Dam Registration #:
Dam Country:
 
Dog Information
 Check here if this is an update to a dog already in the database.
Registered Name:
Call Name:
Gender:
Spayed/Neutered:
Registration #1:
Reg #1 Country:
Registration #2:
Reg #2 Country:
Available at Stud:
Frozen Semen:
Microchip:
Tattoo:
Height:
Weight:
Eye Color:
Coat:
Bite:
Tail:
Rescue Type:
 
Health Information (optional) Click here to display Health Form items
Select file to upload:
Date First Diagnosed: Date the condition was first diagnosed.
Diagnosis:
Details:
For dogs that are deceased:
Was the condition referenced above a significant factor in the death of this dog? 
Date of Death:
Optional Explanation:
 
Use this to indicate underlying cause of death if not in the diagnosis above.
Euthanized:
 
Comments/Instructions