ISAA Checklist for Litter Information
Note: Please complete and return via email to and/or with membership check to:
Amber Jessop 1310 South 7500 West Ogden, UT 84404
Sire's full official name: 
Dam's full official name: 
Date of Birth of litter: 
Please list the puppies by their birth order including their gender.
1. Puppy's Name: 
Gender: M F Probable outcome: Pet Breeding 
AKC #: 
Color: 
#Dew claws front:  #Dew claws back: 
Microchip#: 
New owner: 
If under 18, please list parent or guardian:  
Address: 
City, State, ZIP: 
Phone Number: 
E-mail address: 
 
2. Puppy's Name: 
Gender: M F Probable outcome: Pet Breeding 
AKC #: 
Color: 
#Dew claws front:  #Dew claws back: 
Microchip#: 
New owner: 
If under 18, please list parent or guardian:  
Address: 
City, State, ZIP: 
Phone Number: 
E-mail address: 
3. Puppy's Name: 
Gender: M F Probable outcome: Pet Breeding 
AKC #: 
Color: 
#Dew claws front:  #Dew claws back: 
Microchip#: 
New owner: 
If under 18, please list parent or guardian:  
Address: 
City, State, ZIP: 
Phone Number: 
E-mail address: 
 
4. Puppy's Name: 
Gender: M F Probable outcome: Pet Breeding 
AKC #: 
Color: 
#Dew claws front:  #Dew claws back: 
Microchip#: 
New owner: 
If under 18, please list parent or guardian:  
Address: 
City, State, ZIP: 
Phone Number: 
E-mail address: 
5. Puppy's Name: 
Gender: M F Probable outcome: Pet Breeding 
AKC #: 
Color: 
#Dew claws front:  #Dew claws back: 
Microchip#: 
New owner: 
If under 18, please list parent or guardian:  
Address: 
City, State, ZIP: 
Phone Number: 
E-mail address: 
6. Puppy's Name: 
Gender: M F Probable outcome: Pet Breeding 
AKC #: 
Color: 
#Dew claws front:  #Dew claws back: 
Microchip#: 
New owner: 
If under 18, please list parent or guardian:  
Address: 
City, State, ZIP: 
Phone Number: 
E-mail address: 
7. Puppy's Name: 
Gender: M F Probable outcome: Pet Breeding 
AKC #: 
Color: 
#Dew claws front:  #Dew claws back: 
Microchip#: 
New owner: 
If under 18, please list parent or guardian:  
Address: 
City, State, ZIP: 
Phone Number: 
E-mail address: 
