ASA Breeding Request Form ASA Breeding Request STOP and CHECK!Prior to filling in this form, you must have the following items ready to send along with this form: • Hip and Elbow clearances • Copy of your FCPR registration, showing you as owner • Copy of your AKC registration, showing you as owner • AKC DNA parentage test if your female is foreign or Canadian born • Cerebral Dysfunction test, if one parent was a carrier of CD • 2 show evaluations or a completed BAC evaluation • Temperament test within 6 months Please refer to the website under PUPPIES AND BREEDING, if you have any questions.Today's Date* MM DD YYYY Formal Name of Female*FCPR Registration Number*AKC Registration Number*Expected month of next heat cycle (MUST BE A MINIMUM OF 3 MONTHS IN THE FUTURE)*OFA Hip X-ray result*OFA Elbow X-Ray result*Cerebral Dysfunction test resultFirst Breeding Request?* Yes No If No, Date of Birth of Previous LitterOwner of breeding female* First Last Owner's Email* Please give the BAC your first and second choice of male below.Name of Preferred Stud*Preferred Stud's Registration Number*Name of Alternate StudAlternate Stud's Registration NumberUse the following lines for remarks or any other additional information, including the reason for your first and second choices:All owners of the above named Bitch need to be members of the ASA and are bound by the breeding requirements of the ASA Code of Ethics. Permission needs to be requested no later than 3 months prior to the expected heat cycle. Permissions are valid for 12 months after the date they were granted. A 6-month extension can be requested once by mail. After that, a new breeding request must be submitted.By checking this box on the request form, the owners of the above named bitch requesting ASA BAC breeding approval verify they have been in touch with the owner(s) of the requested Stud(s), who is/are in agreement with this request.* I have contacted all parties.