EABC - European American Bulldog Club
www.americanbulldog.ch - info@americanbulldog.ch
registered name of dog ____________________________________________________________
chip-nr. ________________________ reg-no (LOBA)___________________ date born _________
owner/address/e-mail ______________________________________________________________
_________________________________________________________________________________
date of x-ray __________________________________________
certificate
of identity, tattoo/ chip/ pedigree checked +
pedigree stamped
(dog must be 12 months or older)
____________ _________________________________________________
date signature / stamp
send this form with the x-ray of hip, shoulder and elbow to
Dr ANTOINE Bernard, 12 boulevard des Faienceries, F-57200 Sarreguemines
results hip D + E can not be bred
( ) A, normal (aucun signe)
( ) B1 ( ) D1 inapte !
bordercase (sensiblement normal) medium dysplasia (moyenne)
( ) B2 ( ) D2
( ) C1 ( ) E1 inapte !
mild dysplasia (légère) severe dysplasia (sévère)
( ) C2 ( ) E2
remarks __________________________________________________________________
______________________________________________________________________________
facultatif:
shoulder/
elbow (coudes et épaules)
only
“free / 0 / A / aucun signe” can be
bred
________________________________________________________________________________
________________________________________________________________________________
date, name, stamp ____________________________________________________________