BLOOD SAMPLE SUBMISSION FOR OLD ENGLISH SHEEPDOG RESEARCH
KC Registered Name and Number of dog …………………………………………………………
………………………………………………………………………………………………………………….
Owner's Name (Block Letters) ……………………………………………………………………….
Address:…………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………
Email address if available):
……………………………………………………………………………………………………………………
IMPORTANT
Please preserve 5ml blood sample in an EDTA tube or Swab.
Please enclose a 5-generation pedigree, and copies of all health certificates available. This information is necessary for the sample to be used for research purposes. It is also important the AHT is informed of any significant health changes that occur after the sample has been submitted.
Pedigree and health certificates can be sent to Dr. Cathryn Mellersh at the Animal Health Trust, Lanwades Park, Kentford, Newmarket, Suffolk CB8 7UU UK. if they are not available at the time of sampling.
I hereby declare that the sample submitted for testing is from the dog described above. I accept that the blood samples become the property of the Animal Health Trust and may be used in future research programmes.
Signature ………………………………………………. Date……………………….