THE THIRTEEN CLUB  NOMINATION & SURVEY INFORMATION

The Thirteen Club collects information from owners of German Shepherds that are twelve years of age or older. Any German Shepherd Dog is eligible when they turn twelve years old, qualifying dogs nominated by their owners with the required information will receive a certificate of recognition. Materials and information submitted become the property of the GSDCA, Inc.

ONLY DOGS LIVING JAN. 1ST OF THE CURRENT YEAR ARE ELIGIBLE.

 

NOMINATION PROCESSING REQUIREMENTS

SEND TO:

 
  • FOUR GENERATION PEDIGREE
  • COPY OF AKC REGISTRATION
  • COMPLETED SURVEY FORM

Carolyn Putnam  
2436 Mountainview Drive
Escondido CA 92027

 

 

OWNER'S NAME AND EMAIL ADDRESS     

ADDRESS                                                             

CITY, STATE, ZIP

DOG'S NAME WITH TITLES           

AKC NUMBER    

DATE OF BIRTH                

AGE                                              SEX        M         F

CAREER (Circle all that apply)

CONFORMATION              OBEDIENCE         SCHUTZHUND

AGILITY                HERDING              SERVICE                PET        

PET ONLY             BREEDING

SPAY OR NEUTER?           AT WHAT AGE?

NUMBER OF LITTERS SIRED OR WHELPED

HOW MANY DOGS LIVE ON THE SAME PROPERTY?

NUMBER OF LITTERMATES STILL LIVING                                

HIPS OFA?                            OFA NUMBER                    

AGE HIPS X-RAYED                          

COMMENTS ON CONDITION        

ELBOWS OFA?               OFA NUMBER          

AGE ELBOWS X-RAYED                                   

COMMENTS ON CONDITION

SIGNS OF ANY SPINAL DISEASE?                  

AGE SPINE X-RAYED                                        

AGE OF ONSET                                  

IS THIS DOG LIVING?  YES     NO

IF NOT, GIVE DATE OF DEATH

DO YOU GIVE YOU DOG MEDICATIONS ON A REGULAR BASIS?

YES     NO

IF SO, PLEASE DESCRIBE

DO YOU GIVE YOUR DOG VITAMIN/MINERAL SUPPLEMENTS ON A REGULAR BASIS?  YES     NO

IF SO, PLEASE DESCRIBE.

TYPES OF FOOD?                KIBBLE                 CANNED
SOAKED         DRY

OTHER (PLEASE EXPLAIN)             

FREQUENCY OF FEEDING  ______ TIMES PER DAY

HAVE YOU CHANGED YOUR DOG'S DIET AS HE'S AGED?

IF SO, PLEASE EXPLAIN

HOUSING?

HOME          KENNEL         COMBINATION

HOW OFTEN DOES THE DOG HAVE A VET EXAM?

MORE THAN ONCE A YEAR            ONCE A YEAR    

AS NEEDED                                          NEVER

MAJOR ILLNESSES OF SURGERIES DURING LIFETIME?

PLEASE LIST OR DESCRIBE

PLEASE SHARE ANY OTHER INFORMATION YOU FEEL WILL CONTRIBUTE TO THE LONGEVITY OF GERMAN SHEPHERD DOGS. WE ALSO WELCOME YOUR COMMENTS AND SUGGESTIONS FOR THIS PROGRAM.      

   

SIGNATURE                                                                                                                   ARE YOU A GSDCA MEMBER?  YES     NO

 

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