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

If your pedigree is partially already online and you can fill in any missing information you can fill in the form below or send a separate email to info@akitahq.com 

Use our Express Submission Form if the sire and dam of your dog are already on line

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

*  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:
   
   

*  Please provide the Full Pedigree for the AKITA being Submitted.

Parents

Grandparents

Great-Grandparents

 

"Sire"

Registration Number

 Grandsire:
 Great-Grandsire:
Great-Grandam:
Grandam:
 Great-Grandsire:
Great-Grandam:

 

"Dam"

Registration Number

 Grandsire:
 Great-Grandsire:
Great-Grandam:
Grandam:
 Great-Grandsire:
Great-Grandam:

 

 

 

 

 

 

 

 

*  Signed by: (Please just type your name)
*  Date of Signature:

 

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