Ambassador of Health Application

Please answer ALL fields and upload a nice photo of your dog and any documents not available on OFA.
Contact information

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* 1. Name:

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* 3. List the dog's complete list of owners

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* 4. List the dog's complete list of breeders

Dog Information

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* 5. Please provide the dog's full registered name WITH titles followed by their registration number

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* 6. Please provide the dog's call name

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* 7. Please provide any additional information you would like to include. (Ie. This dog won Winners at a Roving. This dog is an international champion. etc.)

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* 8. If you have results available on OFA's website, please copy the URL for your dog and paste it here.

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* 9. For results not submitted to OFA, please provide the examining veterinarian's name and the clinic/hospital the exam occurred, followed by their phone number or email. SIGN THE FORM WITH THE NOTE "The ABGA has my permission to contact." Then upload proof of exam to the bottom of this form.

*NOTE if we are unable to confirm the validity of the information the test will not be accepted. If the examining vet is also the owner or breeder the result will not be accepted.*

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* 10. Upload any relevant attachments:

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* 11. Upload any relevant attachments:

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* 12. Upload any relevant attachments:

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