Berner-Garde Database Litter Submission Form
Note that this form is intended to be used by breeders to submit detailed information on litters that they have bred. If you are submitting data for an individual dog, please use the Dog Submission form.
Fields with a
yellow background
are required.
Submitter Info
(required)
BG People ID:
Optionally populate submitter section with your existing database information
First Name:
Middle Initial:
Last Name:
Address:
(Use for additional foreign address info)
City:
State / Prov:
Postal Code:
Country:
Phone:
Email:
If Submitter is not Breeder, please explain:
Breeder Info
Check here to use Submitter name & address:
BG People ID:
Optionally populate breeder section with existing database information
First Name:
Middle Initial:
Last Name:
Address:
City:
State / Prov:
Postal Code:
Country:
Phone:
Kennel Name:
Email:
Litter Info
(required)
BG Litter ID:
Optionally populate the litter section with existing database information
Litter Whelp Date:
(mm/dd/yyyy)
Litter Registration #:
Country of Origin:
BG Dog ID (Sire):
Optionally populate Sire info with existing database information
Sire Registered Name:
Sire Call Name:
Sire Reg #:
BG Dog ID (Dam):
Optionally populate Dam info with existing database information
Dam Registered Name:
Dam Call Name:
Dam Reg #:
Insemination Method:
Natural
AI Fresh Chilled
AI Fresh Unchilled
AI Frozen
Frozen Implant
Birth Method:
Natural
C-Section
Note that the following form fields are asking for numeric data.
Total Surviving Males:
(Alive at 8 weeks)
Total Surviving Females:
(Alive at 8 weeks)
Stillborn Males:
Stillborn Females:
Neonatal Death Males:
Neonatal Death Females:
Note: We are using the term "Neonatal Death" to describe a puppy that was born alive but died before it was 8 weeks old.
Puppy List
Puppy
Reg Name:
Call Name:
# 1
Reg Number:
ACA
AKC
ANKC
APR
APRI
CBKC
CKC
CKU
CNTKC
CPC
DKK
ENCI
EST
FCA
FCD
FCI
FCM
FKK
GER
HKS
HRFI
IKC
JKC
KCC
KGN
KUSA
KZS
LKD
LKF
MEOE
NHSB
NKK
NZKC
OFA
OK
RKF
RSCF
SCC
SKG
SKK
SPKP
TKC
UAKC
UCSH
UKC
URCSH
VDH
VKSK
ZKWP
Ltd Reg:
Yes
No
Sex:
Male
Female
Umbillical Hernia:
Yes
No
Eye Color:
Brown
Blue - Bilateral
Blue - Unilateral
Coat Color:
Normal
Ground color not black
Owner People ID:
Optionally populate this owner with existing database information
Owner First Name:
Last Name:
Owner Address:
Private Addr/Phone/Email
City:
State/Prov:
Alabama
Alaska
Alberta
Arizona
Arkansas
Armed Forces - America
Armed Forces - Europe, Africa & Middle East
Armed Forces - Pacific
Australian Capital Territory
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
N.W. Territory
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New South Wales (Australia)
New York
Newfoundland & Labrador
North Carolina
North Dakota
Northern Territory (Australia)
Northwest Territory (Canada)
Nova Scotia
Nunavut Territory (Canada)
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Quebec
Queensland (Australia)
Rhode Island
Saskatchewan
South Australia
South Carolina
South Dakota
Tasmania (Australia)
Tennessee
Texas
Utah
Vermont
Victoria (Australia)
Virginia
Washington
West Virginia
Western Australia
Wisconsin
Wyoming
Yukon
Postal Code:
Country:
Andorra
Argentina
Australia
Austria
Bahamas
Belgium
Bermuda
Brazil
Canada
Chile
Croatia
Czech Republic
Denmark
Ecuador
Estonia
Finland
France
Germany
Great Britain
Greece
Hungary
Iceland
India
Ireland
Israel
Italy
Japan
Lithuania
Mexico
New Zealand
Norway
Poland
Portugal
Romania
Russia
Scotland
Slovakia
Slovenia
South Africa
Spain
Sweden
Switzerland
The Netherlands
Ukraine
United States of America
Uruguay
Phone:
Email:
Puppy
Reg Name:
Call Name:
# 2
Reg Number:
Ltd Reg:
Yes
No
Sex:
Male
Female
Umbillical Hernia:
Yes
No
Eye Color:
Brown
Blue - Bilateral
Blue - Unilateral
Coat Color:
Normal
Ground color not black
Owner People ID:
Optionally populate this owner with existing database information
Owner First Name:
Last Name:
Owner Address:
Private Addr/Phone/Email
City:
State/Prov:
Postal Code:
Country:
Phone:
Email:
Puppy
Reg Name:
Call Name:
# 3
Reg Number:
Ltd Reg:
Yes
No
Sex:
Male
Female
Umbillical Hernia:
Yes
No
Eye Color:
Brown
Blue - Bilateral
Blue - Unilateral
Coat Color:
Normal
Ground color not black
Owner People ID:
Optionally populate this owner with existing database information
Owner First Name:
Last Name:
Owner Address:
Private Addr/Phone/Email
City:
State/Prov:
Postal Code:
Country:
Phone:
Email:
Puppy
Reg Name:
Call Name:
# 4
Reg Number:
Ltd Reg:
Yes
No
Sex:
Male
Female
Umbillical Hernia:
Yes
No
Eye Color:
Brown
Blue - Bilateral
Blue - Unilateral
Coat Color:
Normal
Ground color not black
Owner People ID:
Optionally populate this owner with existing database information
Owner First Name:
Last Name:
Owner Address:
Private Addr/Phone/Email
City:
State/Prov:
Postal Code:
Country:
Phone:
Email:
Puppy
Reg Name:
Call Name:
# 5
Reg Number:
Ltd Reg:
Yes
No
Sex:
Male
Female
Umbillical Hernia:
Yes
No
Eye Color:
Brown
Blue - Bilateral
Blue - Unilateral
Coat Color:
Normal
Ground color not black
Owner People ID:
Optionally populate this owner with existing database information
Owner First Name:
Last Name:
Owner Address:
Private Addr/Phone/Email
City:
State/Prov:
Postal Code:
Country:
Phone:
Email:
Puppy
Reg Name:
Call Name:
# 6
Reg Number:
Ltd Reg:
Yes
No
Sex:
Male
Female
Umbillical Hernia:
Yes
No
Eye Color:
Brown
Blue - Bilateral
Blue - Unilateral
Coat Color:
Normal
Ground color not black
Owner People ID:
Optionally populate this owner with existing database information
Owner First Name:
Last Name:
Owner Address:
Private Addr/Phone/Email
City:
State/Prov:
Postal Code:
Country:
Phone:
Email:
Puppy
Reg Name:
Call Name:
# 7
Reg Number:
Ltd Reg:
Yes
No
Sex:
Male
Female
Umbillical Hernia:
Yes
No
Eye Color:
Brown
Blue - Bilateral
Blue - Unilateral
Coat Color:
Normal
Ground color not black
Owner People ID:
Optionally populate this owner with existing database information
Owner First Name:
Last Name:
Owner Address:
Private Addr/Phone/Email
City:
State/Prov:
Postal Code:
Country:
Phone:
Email:
Puppy
Reg Name:
Call Name:
# 8
Reg Number:
Ltd Reg:
Yes
No
Sex:
Male
Female
Umbillical Hernia:
Yes
No
Eye Color:
Brown
Blue - Bilateral
Blue - Unilateral
Coat Color:
Normal
Ground color not black
Owner People ID:
Optionally populate this owner with existing database information
Owner First Name:
Last Name:
Owner Address:
Private Addr/Phone/Email
City:
State/Prov:
Postal Code:
Country:
Phone:
Email:
Note that you will be given a choice to enter more puppies for this litter after you submit these.
Submission Comments:
By clicking the "Submit Data" button below I am stating that the above data is correct and accurate to the best of my knowledge and that I voluntarily submit the above data for entry into the Berner-Garde database.
I authorize release in accordance with Berner-Garde policies, including affected phenotypes at the time I owned the dog(s) and I authorize a Berner-Garde Site Operator to contact me for data validation purposes.
I understand that phenotypes that were diagnosed after I relocated a dog are treated as "hearsay" information until verified with the current owner.
Please direct any questions or comments about this form to
filemanager@bernergarde.org
.