Jack Russell Terrier Health Registry
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How to Test
Testing
Glossary
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Submit
Submit Test Results to JRT Health Registry
Please attach only
PDF
,
JPG/JPEG
or
PNG
files. Each attachment
must not exceed 5 MB
in size.
Your Name
(for followup only)
Your Email
(for followup only)
Full Dog Name
Sex of Dog
Male
Female
JRTCA Reg/Rec #
Dog Birthdate
Date of Death
Sire Full Name
Dam Full Name
Additional Test Results
#
Test
Results
Test Number
Test Date
1
Select Test
CERF/CAER
BAER
PLL
DM
SCA
HU
LOA
NNA
Other
Select Result
Explanation of results
#
Test
Results
Test Number
Test Date
2
Select Test
CERF/CAER
BAER
PLL
DM
SCA
HU
LOA
NNA
Other
Select Result
Explanation of results
#
Test
Results
Test Number
Test Date
3
Select Test
CERF/CAER
BAER
PLL
DM
SCA
HU
LOA
NNA
Other
Select Result
Explanation of results
#
Test
Results
Test Number
Test Date
4
Select Test
CERF/CAER
BAER
PLL
DM
SCA
HU
LOA
NNA
Other
Select Result
Explanation of results
#
Test
Results
Test Number
Test Date
5
Select Test
CERF/CAER
BAER
PLL
DM
SCA
HU
LOA
NNA
Other
Select Result
Explanation of results
If 'Other', please enter test name and/or results in the explanation field
Attach Test Results (PDF, JPG or PNG)
All attachments should be in the
same folder
on your PC.
Please attach only
PDF
,
JPG/JPEG
or
PNG
files.
Each attachment
must not exceed 5 MB
in size.
All other file types will be rejected.
You may submit up to 5 file attachments at one time.
Use the CNTL key (PC) or Command key (Mac) to select more than one file to submit.
Please review your attachments carefully!
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