Briard Referral List Application (Page 2 of 3) in pdf

SIRE INFORMATION

(If this breeding is the result of a multiple sire litter, this form must

be completed for each sire.)

Registered Name _________________________________________________________

Country of Registration __________ Call Name (if desired) ______________________

(if other than AKC/USA)

AKC # (if applicable)______________________________________________________

TITLE/AWARD INFORMATION

(Only titles and awards listed below are eligible for inclusion in Referral Listings)

Send via mail a copy of the most recent AKC certificate or use to provide the

referral chair with the registered name and titles for the Sire by logging in to your AKC account

and going to Manage Dogs. Check mark the Sire and either generate a PDF by selecting My

AKC Dog Report or take a screen shot of the Dog Information. The AKC lists all titles as part of

the registered name, and the report should show the registered name with the Sire's current AKC

titles.

Please circle Sire’s earned Honors/BCA Awards/Certificates

BIS BISS HIC VT VTX VTM ROM ROMX ROMH ROMHX ROMP ROMPX

HOF Herding Instinct Tested

If Sire was Rass Select at a BCA National Specialty, please list whether selection was for Puppy

and/or Adult and year(s) of selection(s). This will be verified by documentation provided by the

BCA to the referral chair.

________________________________________________________________________

SIRE HEALTH INFORMATION:

No specific clearances are required to list a litter, but documentation of health clearances from the certifying body or

CHIC must be provided to the referral chair prior to publication.

Health clearances must be current; for example, a CERF expires one year after the date of the exam and a CERF

exam that has not been done within the past 12 months should not be listed as a CERF eye clearance on the referral

page.

Please circle documented heath clearances:

HIPS ELBOW PATELLA CARDIAC THYROID CERF* CSNB** CHIC

PRELIMINARY HIPS PRELIMINARY ELBOW

If preliminary report:

Age of dog now _____________________ (must be younger than 30 months of age)

Age in months of dog at time of X-ray ________________________________________

If you wish to submit health clearance documentation via email or fax, please contact the referral

chairperson for instruction.

*CERF exams are required annually and must be current to be listed.

**In order for a sire to be listed as “CSNB clear by pedigree” it is necessary to submit a pedigree for the sire, DNA

results for the sire as well as his parents, and copies of health clearances showing the parents of the sire as

genotypically clear for CSNB.

Briard Referral List Application Page 2