Personal and Reference Information
Please enter the name of your sponsor
Sponsor and reference letters
PERSONAL BIO and ACHIEVEMENTS (Please give a brief history of your involvement with Havanese along with a brief bio on yourself. List conformation championship and versatility or obedience titles you have earned in the past five years)
Information on Ownership and Dogs Owned and Co-Owned
List any additional owned or co-owned breeding dogs one per line
Please select all that apply by scrolling through the list
please read carefully all agreements below
I agree to be involved with the Club and to do at least two activities per year that contribute to the Club. This might include one or
more of the following: attending meetings, participating on one of the committees, sending in submissions for the newsletter or website, donations or participation in the
Rescue or other fundraising activities, planning, running or assisting in a Club sanctioned event, donation to the
awards-trophy-prize-raffle speciality fundraiser, volunteering time or talent , Rescue foster or pick up volunteer, or other.
I have read, understand and agree to uphold the HFC Code of Ethics, Bylaws and Code of Conduct.
I agree to follow all rules of the CKC in regards to registration, breeding, and code of conduct
I am a member of another Havanese Club, All Breed Club, or other canine organization? (If yes, Please list on line below
other affiliations/memberships including any board/committee positions held and length of membership
List other club memberships and length of time position/membership held
Breeder, Intended Breeder or Co-Owner supplementary Information Required
Please select all that apply
Please add your health testing documentation on all breeding dogs. If you have filed with OFA then please take a screen print and send in the OFA information. Vet signed health testing is also fine. Here are the health testing requirements for Breeding dogs
to CAER (eyes) and Patella, two of the following tests must be completed
The two additional tests, not including CAER and Patella, can be selected from the following list of tests.
Approved Tests – not including CAER
1. OFA Cardiac, or any other OFA certified cardiac exam such as echo etc.
2. OFA Hip, or HIP/LCP combined
3. OFA Penn Hip
4. OFA Elbows
5. OFA Thyroid
6. Biles and/or other liver testing
If you are placing show puppies please upload or drag and drop a copy of both your breeding and non breeding sales contract
If your sponsor has not visited your house please include pictures of your dog area, their sleeping area, grooming area and whelping areas. This is NOT required unless your sponsor has not visited your house