Salukis In
Good HealthSalukis In
Good Health
When this document has finished printing, Return to Instructions Page
The following questions are for you to fill out with information on your Saluki(s). We realize that many of these questions refer to Salukis that have passed on. That does not mean the information you have for your living Salukis is unwanted, simply that in situations where information is being sent in after the death of a Saluki, there is much valuable data, including medical forms, etc., and we wanted to be sure to have a place for that data. For those who have lost a dear friend, we realize that this will be a difficult time for you, but the information provided will be vital to the success of our database analysis process. For all animals, please answer all the questions that pertain to your situation with the greatest amount of detail available to you, as our database will be the most helpful if we can have the maximum amount of information on each entry. If there are details you cannot obtain, however, please fill in the questionnaire to the best of your ability and submit it anyway. Every bit of information we can gather will help. In some cases it may be helpful to contact your veterinarian for access to your dog's official records. Please call, write or email SIGH with any need for contact, questions, or concerns.
1-1. Your name: ______________________________________________
1-2. a. Dog's registered name:_____________________________________
(if no registered name, please use call name)
b. Dog's call name: _____________________________________
1-3. Date of birth: __________ Date of death: __________
1-4. Sex of dog: _________
1-5. Sire: __________________________________________________
Dam: __________________________________________________
1-6. Breeder: _______________________________________________
1-7. a. Attending veterinarian at death:
____________________________________________________________
b. Attending veterinarian during lifetime:
____________________________________________________________
1-8. Color. Please mark all that apply to this particular dog. Room is provided for details where you feel they are needed. Attach a color photo of dog.
| a) Ground color, e.g. | White
Cream Fawn (light/dark/medium) Red (light/dark/medium) |
| b) Overlay color, e.g. |
Black coat (on red/fawn gives black/tan,
on white black/silver, etc.)
Grizzle Sabling (black fringes, specify location(s)) |
| c) White markings or patterns, e.g. |
Blaze and/or socks
Irish marked Particolored (describe) Ticking (on particolored or white, describe) |
| d. Dilutions, e.g. |
Chocolate (instead of black)
Gold (instead of red) Liver nose, etc. Blue |
Please place completed form in an envelope. Include all attachments. Seal and mark, on the back, IDENTIFYING. Place this envelope in the larger envelope along with the document(s) for Part II, and mail to the address of your choice from the "Qdoc" Instructions page.
Pres: Lin Jenkins
2966 Old Hickory Rd.
Lancaster, SC 29720 U.S.A.
ph: 803/283-4587
email: saluki@execulink.com
or
Sec: Gayle Nastasi
RR#2, Box 315E
Middleburgh, NY 12122 U.S.A.
ph: 518/827-7129
email: gayzehound@bigfoot.com
ATTACHMENTS ENCLOSED: (check all that apply)
[ ] Pedigree (at least 3 generations)
[ ] Photograph of dog
[ ] Other information you feel is pertinent (details below)
____________________________________________________________
____________________________________________________________
____________________________________________________________
Update: March 26, 1998