Test Registration Category: Uncategorised Created: Tuesday, 16 July 2013 05:47 Written by Super User Print Email Test Registration Full Name (*) Your full name is required. Email (*) Please enter a valid email address. Regular Vet's Name Invalid Input Cat's Full Name (include breeder prefix/suffix) Invalid Input Breed Invalid Input Breeder or Pet BreederPet Invalid Input Has your cat been screened for HCM before? YesNo Invalid Input Does your cat have any pre-existing heart conditions? YesNo Invalid Input Is your cat registered? YesNo Invalid Input Would you be willing to share scan results with Sphynx HCM Databases? YesNoNot Applicable Invalid Input Sire's full name Invalid Input Dam's full name Invalid Input I understand how important it is for the breeder to be notified of the results of this HCM screening. I will make every attempt possible to notify the breeder personally of a negative or positive results. Invalid Input Address (*) Please input your address. Telephone (*) Please enter a valid telephone number. Cat's call name Invalid Input Cat's DOB Invalid Input Colour Invalid Input Alter status Neutered Male Spayed FemaleWhole MaleWhole Female Invalid Input Does your cat have a known heart murmur? YesNo Invalid Input If your cat has a pre-existing heart condition, please explain Invalid Input Do you have your cat's pedigree or registration papers? YesNo Invalid Input Cat's Registration # Invalid Input Sire's DOB Invalid Input Dam's DOB Invalid Input I understand that both negative and positive screening results are valuable to the Sphynx HCM Databases. I understand that submitting to the databases is done on a volunteer basis only and my signature on the HH Database Submittal Form is authorization to share the results. If I agree to submit data, I agree to notify my breeder that I have done so. Invalid Input