UK Enrolment Form

BIRMAN CAT BREEDERS FELLOWSHIP

Breeder Enrolment Form

The information submitted on this page is for use of the project manager Alwyn Hill only.
No information will be given to a third party without the prior consent of the informant.

Breeders name :

Cattery Name :

Country where you live:

E-mail Address:

Fax Number:

Date:

Number of years you have been breeding birmans:

Number of breeding queens currently in your cattery:

Number of Birman Toms currently in your cattery:

Average number of Birman litters per year:

Please give your written agreement to allow Alwyn Hill to store this information in the space provided below:

On receipt of your enrolment form you will be sent an email with a unique membership number. Please store it safely.

Historical Cattery Information

The information submitted on this page is for use of the project manager Alwyn Hill only.
No information will be given to a third party without the prior consent of the informant.

This questionnaire is to give us an idea of the problems encountered in the Birman breed and their geographical spread. Select all that apply by holding down the Ctrl key whilst selecting multiple options.

Blood groups in cattery:	Please state how many of each group and male/female split:	Birth Problems:	If any incidences please specify below how many of each:

Birth Defects:	If any incidences please specify below how many of each:	Brain Problems:	If any incidences please specify below how many of each:

Congenital Tremors (Wobbly Kittens)	If any incidences please specify below how many of each:	Eyes:	If any incidences please specify below how many of each:

Heart:	If any incidences please specify below how many of each:	Kidney Failure (age):	If any incidences please specify below how many of each:

Liver:	If any incidences please specify below how many of each:	Lungs:	If any incidences please specify below how many of each:

Spinal Faults:	If any incidences please specify below how many of each:	Legs or Feet:	If any incidences please specify below how many of each:

Cosmetic Faults:	If any incidences please specify below how many of each and white or dark:	Virus:	If any incidences please specify below how many of each:

Toxoplasmosis:		Feline Infectious Peritonitis (FIP):	If any incidences please specify below how many of each and what age:

Cancers:	If any incidences please specify below how many of each:	Diet:	If any incidences please specify below how many of each:

Immunity Problems (please specify):		Aggression (not only at shows):	If any incidences please specify below how many of each:

Cryptorchid:	If any incidences please specify below how many of each:	Loss of Pigment:	If any incidences please specify below how many of each:

Umbilical Hernias:	If any incidences please specify below how many of each:

Please mention any additional information you think might be useful to the project regarding the medical history of your cattery.

my email address is alwyn.hill@blueyonder.co.uk