Litter Submission

Litter Submission – Health Clearance Rebate Application – Jantel Fund

The Jantel Fund is pleased to be able to offer Society breeder members a rebate covering OFA litter clearance charges ($120 USD) when hip (and elbow, patella) x-rays for 3 or more littermates are submitted together to OFA. All the dogs do not need to be under the same ownership, but the results for all dogs must be published on the OFA database – normal and abnormal. To meet rebate guidelines – submissions to OFA after August 1, 2023 will be considered for rebate.

Date

Breeder Member Name

First Last

Kennel Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Can this email address be used for e-transfer of funds?

Yes

Litter Sire

Litter Dam

Litter Date of Birth

Littermate List – minimum 3 dogs must be listed

#1 – Dog name

#2 – Dog name

#3 – Dog name