13 Club Application

Dog's Registered Name with Titles (ONLY AKC & GSDCA Titles)

Sex

Male

Female

AKC/CKC Registration Number

Repeat AKC/CKC Registration Number

Sire Name

Sire's AKC/CKC Number (must be a valid AKC/CKC number)

Dam Name

Dam's AKC/CKC Registration Number(must be a valid AKC/CKC number)

OFA/OCA Hip Number?

OFA/OCA Elbow Number?

Number of Litters Sired or Whelped?

Date of Birth

Is This Dog Living?

Yes

No

If Not Living, give date of Death

Number of Littermates?

Number of Littermates Still Living?