I am aware that this information has been placed in the public domain by the dog's owner with the implied and explicit understanding that it will be available, subject to certain rules, to breeders, owners, and prospective owners, breed clubs, and researchers who agree to use it in a responsible and ethical manner for the improvement of the breed. I understand this data is for my private use only, and not for publication.

Signature:_________________________ Date:___/____/____

I enclose $10 ____ for the KinReport® = Progeny & Sibling/Half-Sibling printout form the registries on above dog. I enclose ____a 4 generation pedigree.

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