The information being submitted will be entered into the Pedigree Database  
on the next routine update.

If the sire and dam of your dog are already online you may use the form below to submit your information to the database or send a separate email to info@akitahq.com 

You may also send a scanned pedigree or a pdf file to info@akitahq.com 

Please only include titles recognized by the appropriate kennel club

All fields marked * Must be filled in.

*  Your Full Name:
*  Email Address:

*  Breeder's Name

*  Owner's Name

All fields marked * Must be filled in. If you do not have information for a specific field please specify reason in that field. I.E N/A or pending, not known etc.

*  Registered Name:

*  Registration Number:

*  Gender :

*  Date Of Birth :

*  Colour / Markings:

*  Sire Registered Name:

Sire Registration Number (if known)
*  Dam registered Name
Dam Registration Number (if known):

*  Signed by:

(Please just type your name)

*  Date of Signature:

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