IMPORTANT: Participants MUST COMPLETE, PRINT & SIGN the following REQUIRED DOCUMENTS (see Clinic home page) and either bring them to the clinic or ship them with your sample(s):

AGREEMENT (only one per person)

SAMPLING CERTIFICATE (one per dog tested) plus dog's

PEDIGREE - download the four generation horizontal pedigree from the Berner-Garde database - http://bernergarde.org/db/Main.html.

Instructions will be sent to registrants upon order completion.

Histiocytic Sarcoma Risk Test Clinic

$50 & up

Part Number: BMDCA-HRT

Availability: In Stock

Options *

Participation *

In-Person (blood drawn at clinic on 10/2) Remote (blood drawn by own vet; hand-delivered on day of clinic) Remote (blood drawn by own vet; shipped to arrive between 9/30-10/2)

Your Kennel Name

(Insert n/a if not applicable):

Registered Name of Dog *

Required (no titles):

Call Name *

Required:

Date of Birth (MM/DD/YY) *

Required:

Sex (required) *

Male Female

Identification *

Required (Chip or Tattoo No.):

Berner-Garde ID# *

Insert:

HSIMS Access (choose one) *

Self (authorized user on the HSIMS test mating website) Other (HSIMS user access granted to breeder/other)

Provide name & email in Comments.

Quantity

Histiocytic Sarcoma Risk Test Clinic

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