Personal and Reference Information

Please enter the name of your sponsor
Click or drag files to this area to upload. You can upload up to 5 files.
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

Please enter the name and registration number for all owned and co-owned breeding dogs. One per line
Please enter the name and registration number for all owned and co-owned breeding dogs. One per line
Please enter the name and registration number for all owned and co-owned breeding dogs. One per line
Please enter the name and registration number for all owned and co-owned breeding dogs. One per line
Please enter the name and registration number for all owned and co-owned breeding dogs. One per line
Please enter the name and registration number for all owned and co-owned breeding dogs. One per line
Please enter the name and registration number for all owned and co-owned breeding dogs. One per line
Please enter the name and registration number for all owned and co-owned breeding dogs. One per line
Please enter the name and registration number for all owned and co-owned breeding dogs. One per line
Please enter the name and registration number for all owned and co-owned breeding dogs. One per line
Please enter the name and registration number for all owned and co-owned breeding dogs. One per line
Please enter the name and registration number for all owned and co-owned breeding dogs. One per line
Please enter the name and registration number for all owned and co-owned breeding dogs. One per line
Please enter the name and registration number for all owned and co-owned breeding dogs. One per line
List any additional owned or co-owned breeding dogs one per line
Please select all that apply by scrolling through the list
If you listed Other list below

Agreements

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
I declaire that all the above information is correct. Please type your name in full as your signature

Breeder, Intended Breeder or Co-Owner supplementary Information Required

Please select all that apply
please list your kennel name
Please list any other breeds you own and if you breed or plan to breed those breeds
Click or drag files to this area to upload. You can upload up to 17 files.
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 In ADDITION 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 and Patella 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
Click or drag files to this area to upload. You can upload up to 4 files.
If you are placing show puppies please upload or drag and drop a copy of both your breeding and non breeding sales contract
Click or drag files to this area to upload. You can upload up to 13 files.
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
I declare that all information in the breeder section is correct. Please type in your signature above

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