AWPGA Database Dog Submission Form

This form is for entering new or updating existing dogs in the AWPGA Database.
Type in data then click the "Submit Data" button to send the information to an operator who will update the database.

Submitter Info (required)

Name:

Address:

(Use for additional foreign address info)

City:

State / Prov:

Postal Code:

Phone:

Country:

Email:

If Submitter is not Owner or Breeder, please explain:

If this is an update to a dog already in the database, click the checkbox here, enter the dog'sregistered
name and then enter only the data to be added or changed, including owner and breeder info.

Owner Info (Where the dog lives) Check to use Submitter Info:

Name:

Address:

City:

State / Prov:

Postal Code:

Phone:

Country:

Email:

Co-Owners (if any):

Breeder/Litter Info (Please provide as much information as possible) Check to use Submitter name & address:

Breeder Name:

State / Prov:

Country:

Sire Registered Name:

Sire Call Name:

Sire Reg #:

Dam Registered Name:

Dam Call Name:

Dam Reg #:

Litter Birth Date:

Year: Month: Day:

Dog Info

AWPGAdb Dog ID:

(optional for dogs already in the database)

Registered Name:

Call Name:

Sex:

Male Female

Identification:

Registration #:

Registry:

Ltd Registration:

Yes

DNA Registration #:

Microchip Number:

Chip Registry:

Tattoo Description:

Tattoo Location:

Reproductive Status:

Spayed/Neutered:

Yes No Date of Spay/Neuter: Year: Month: Day:

Frozen Semen Avail:

Yes No

Available At Stud:

Yes No

Physical Traits:
Dog Height:		Dog Weight:		Body Length:
Coat Color:		Markings:		How to measure Height/Length
Coat Harshness:	Source:			Coat Length:
Coat Density:	Source:			Coat Type:
Eye Color:		Nose Color:		Bite:
# of Missing Teeth:	Must be numeric	# Extra Teeth:	Must be numeric

Health Info:
	It is our goal to show all health data as diagnosed. In order to do this, we will need a copy of the vet or pathologists report. This can be scanned and emailed, uploaded, or snail mailed. If the dog is already in the database this can be uploaded via the Health tab in the dog record. Otherwise, please email to the database manager at dbmanager@awpgadb.com. Thank you in advance for taking the time to do this.
Deceased:	Yes No Date of Death: Year: Month: Day:
Cause of Death:	Please help! Euthanized: Yes No

Other Health Info: What is this for?

Tests/Certifications:

All tests and certifications must be verifiable. If they are not already on the OFA or CERF website, please arrange with a Data Manager to provide a copy. See the information above in the Health section of this submission form.

Date:	What Was Tested:	Evaluated By:	Results or Cert #:

Titles Earned:
Additional Comments:

By clicking the "Submit Data" button below I am stating that the above data is correct and accurate to the best of my knowledge and that I voluntarily submit the above data for entry into the AWPGA Database. I authorize release in accordance with AWPGA policies, including affected phenotypes at the time I owned the dog(s) and I authorize a Data Operator to contact me for data validation purposes. I understand that phenotypes that were diagnosed after I relocated a dog are treated as "hearsay" information until verified with the current owner or breeder.

Please direct any questions or comments about this form to comments@awpgadb.com.