SCWT Database Submission Form

Owner Name *

First

Last

Breeders Name

First

Last

Co-Owner Name if applicable.

First

Last

Email *

Dogs Call Name *

Date of Birth

Registered Name if known

Registration Number if known

Name of Sire from pedigree if available

Name of Dam from pedigree if available

Sex of Dog

Where did you obtain this dog:

Are you the Breeder or the Owner

If your dog is a rescue which rescue group?

Health Section

Tell us about your dogs health condition(s) if none state so.

Are vet records available on this dog? Note that submitting vet records aides researchers. The more information we have the more useful we can be to the breed and dogs everywhere. Diagnosis will be marked Anecdotal if no records are available.

Yes - I will email them to comments@scwtdb.org
No - they are not available any longer
I do not wish to submit vet records.

If the dog is deceseasd do you know what age they died or date?

Date of Death

If deceased what was the cause of death (old age euthanasia is a cause of death)

Temperament

Temperament/Personality (check all that apply)

Did your dog have DNA testing?

Yes and I will send it
Yes and I unable to send it
No
How do I get DNA testing on my dog... please contact me

Other Information

Upload Records or Photos here

Click or drag a file to this area to upload.

What else would you like to share with us about your dog?

By clicking the Submit Data button you are stating that the above data is correct and accurate to the best of your knowledge and that You voluntarily submit the above data for entry into the SCWT Database. you authorize release of this data in accordance with the database policies on the www.scwtdb.org website. You understand that disease, health. or temperament conditions that were diagnosed after after placement of a dog is verified by the current owner before being entered into the database. *

Yes

Address - If you are out of the country and prefer to just add your address to the comment section that will also work.

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

We would love to have photos of your Wheaten for our database. You can submit up to four photos. Email them to comments@scwtdb.org

Is this an update to a dog already in the database?

Yes
No
Not sure

Signature

SCWTCA Endowment: www.scwtcaendowment.org

SCWTCA Website:
www.scwtca.org

Visit the database at www.scwtdb.org

Questions? Email comments@scwtdb.org

Thank you for participating and supporting Wheaten Health!

Membership Renewal

Members Only

SCWT Database Submission Form

Health Section

Temperament

Other Information

Title