Doberman Pinscher Club of America Longevity Program

Bred for Longevity Application

You can apply for a Bred For Longevity-1 Certification if your dog's parents have both lived to at least 10 years of age.  If the grandparents and parents have all lived to 10+, you can apply for a Bred For Longevity-2 Certification.

Please read carefully and review for errors prior to submission. This form is to be filled in online and submitted directly from this page.  Please make sure all information is correct before you click 'submit'.  Please provide a complete address so the certificate can be mailed to you.  If you would like email confirmation of your application, you must enter a valid email address.

Dog Prefix title(s)
Registered name
Suffix title(s)
Registration number
Secondary registration number
Date of birth
Current age
Gender	Male Female
Date of death
Age at death
Cause of death (optional but desirable)
LC number (if applicable)
Longevity numbers of LC designated ancestors:
1st generation (sire)
1st generation (dam)
2nd generation (paternal grandsire)
2nd generation (paternal granddam)
2nd generation (maternal grandsire)
2nd generation (maternal granddam)
Breeder(s)
Owner(s)	This is the owner who will receive the certificate
Street address
City
State
Zip/Postal Code
Country
Phone	Please provide your phone if you have no email in case there is an issue with your application
Email	Required if you want email confirmation that your application has been processed