Main page
Contact
Czech version
Border Collie Epilepsy
SUBMISSION FORM
All fields are required. Please provide as much information as possible. Contact details and certain other information will not be published but it's required for research purposes.
Pedigree Name of Dog or Bitch
*
Name of Sire
*
Name of Dam
*
Further informations as disease progression, age, health tests, numbers of seizures, medication etc.
*
Your name and e-mail
*
Please, do not forget to fill in your e-mail adress so I can contact you if neccesary. Thank you.
Submit
father
mother
.
.
.
.
disease progression:
otec
matka
.
.
.
.
Průběh nemoci:
otec
matka
.
.
.
.
Průběh nemoci: