Stud Service Request Form Please fill out the following information and click the submit button ONCE. Contact Information (so we can contact you!): Your Name (first and last): Your Street Address: Your City, State, and Zip: Your E-Mail Address: Phone Number: I'm interested in stud service to: --Select-- Ruger JH WC CGC Boaz JH CD WC CGC What color is your female? Black Yellow Chocolate What is your female's birthdate? (XX/XX/XX) Month/Day/Year / / What is her AKC registered name? What is her AKC registration number? What type of AKC Registration does she have? Full Registration Limited Registration  What is her SIRE'S AKC registered name? What is her DAM'S AKC registered name? What is your Breeding Focus (check all that apply): Dual Purpose Obedience/Agility Conformation Field/Hunting Pets/Companions Therapy/Assistance Dogs What clearances does your female have? (check all that apply): Hips - Certified with OFA/OVC? Yes No  What is the full certification number for the hips? Elbows - Certified with OFA/OVC? Yes No What is the full certification number for the elbows?   Eyes Thyroid Cardiac (heart) Is your female in season now? Yes No If no, when you do expect her to be in season and/or when do you plan to breed her? What dog events you participate in (list all): Members of what organizations/clubs (list all): Any other information about your female not covered here you would like to tell us? Are there any questions you have? Be sure to click "continue" on the following page or we will not receive your application!