H & G Committee Chair

Please answer the following for any Irish Red and White Setter that you have owned in the last 5 years.

YES _____ If yes, please go to nyumber 2.

NO _____ Thank you . You are finished

Please indicate the particular cancer and age at diagnosis. If the cancer proved fatal, please indicate your dog's age at death.

 

CANCER ................................................. Age at Diagnosis ............................Age at Death....................................

Adrenal Cancer

Hemangiosarcoma

Lymphoma or Lymphosarcoma

Mammary Cancer

Melanoma

Osteosarcoma

Other (Please specify)

Please print and fill out. You can scan and send to Christina Phillips at waidmanset@aol.com or you can mail it to:

Christina Phillips

29065 Orange Ave.

Escalon, CA 95320