Please fill out the following form for each dog. Owner name and Grand Korumak Association® membership number: * Which option applies: * New Genetics Registered Grand Korumak® Parents Breeder's Name and Farm Name (if known; if unknown type X) * Dog's Name * Dog's DOB: * MM DD YYYY Sex * Male Female Fixed or intact? * Fixed Intact Breed makeup? Dam's Name, breed makeup, as well as registration affiliation and number, if applicable. * Sire's Name, breed makeup, as well as registration affiliation and number, if applicable. * Is this a breeding dog (if yes, continue and fill out the rest of the required questions; if no, please submit your form now)? * Yes No Have you ever bred dogs (any breed)? Yes No Why do you want to be a breeder with the Grand Korumak Association? What do you look for when evaluating potential breeding dogs? Is dog DNA tested? * Breeders may not register unless DNA is tested. Yes DNA test completed and result, if applicable. Is dog hip tested? Yes No Hip test completed and result, if applicable. Generation? * O (foundation) 1 2 3 4 5 I don't know Thank you!
