Ameri-Can Stabyhoun Association
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First Name *
Last Name *
Partner Last Name
Partner First Name
Address 1 *
Address 2
City *
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Zip *
Country *
Primary Phone *
Cell Phone
Staby1 Reg. Name
Staby1 Call Name
Staby1 Microchip #
Staby's Birth Date
Staby1 Date of Death
Staby1 Sex <---- Select One ----> MALE FEMALE
Staby1 Spay/neuter?
Staby1 Color <---- Select One ----> BLACK/WHT BROWN/WHT
Name of Breeder
AKC Registration Number
Foreign Registration Number
FCPR Registration Number
Registered Name of Sire
Registered Name of Dam
Staby2 Reg Name
Staby2 Call Name
Staby2 Microchip #
Staby2 Birth Date
Staby2 Date of Death
Staby2 Sex <---- Select One ----> MALE FEMALE
Staby2 Spay/Neuter?
Staby2 Color <---- Select One ----> BLACK/WHT BROWN/WHT
Staby3 Reg. Name
Staby3 Call Name
Staby3 Microchip #
Staby3 Birth Date
Staby3 Sex <---- Select One ----> MALE FEMALE
Staby3 Spay/Neutered?
Staby3 Color <---- Select One ----> BLACK/WHT BROWN/WHT
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