Vragenlijst EN Dear sport friend, You have consulted me about guidelines and products to keep your pigeons healthy and in top condition throughout the year. The system Belgica De Weerd is aiming to minimalize the negative effects of the stay in baskets during transport or exhibition cages by reducing infection risks and improving general health conditions. To get a better notion about the way you house, race and take care of your pigeons I would like you to complete and return this form. Date Date of birth First name Last name Adress Postal Code Town Country Phone E-mail adress Member of pigeon club Pigeons Number of pigeons in winter Number of pigeons in summer (incl. youngsters) Are all the pigeons free to fly out? no yes In case you have pigeons that are not allowed to fly out, can they go outside in an aviary? * Is the floor of the aviary made of wood concrete soil wire Is the floor of the loft covered? yes no Which floor cover do you use? floor deck straw woodchips other Where your racing or exhibition results good last year? Did your pigeons show any of the following signs: green, slimy droppings yellow colored droppings watery, loose droppings vomiting excessive intake of water twisted neck scratching the head and beak wet eyes rattling and coughing loss of condition and weight limping (cripple) decreased desire to fly swelling of leg joints or wing joints feather(s) with blood yellow lumps in the back of the back If so, have your pigeons recovered by themselves or were they diagnosed by a veterinarian? If so, what was the diagnosis? Have your pigeons had any treatment for these symptoms? If so, what treatment? Have your pigeons been vaccinated against pox paramyxo paratyphoid (Salmonella) rota Have they been treated for severe ornithosis using injections ? yes no Have one of the following difficulties occurred during breeding? unfertilized eggs youngsters died in the egg sudden death of squeakers (1-3 days) mortality of youngsters older than 3 days problems during the raising period in the nest sudden watery droppings when switching from crop milk to hard corn difficulties with the feathers in the nest yellow lumps in the back of the beak How often a year do you submit your pigeons’ droppings to be tested? Signing I hereby declare that the pigeons that are, or will be under his/her care, are not bred, kept, slaughtered or collected by the undersigned, with the purpose of the production of food. As the European Commission stated in 2014, this means that my pigeons aren't food-producing animals and may be medicated as such by my vet. The statement of the Commission is based on European Regulation 470/2009 (EU), Article 2b2 and therefore has general validity within the European Community. The declaration of the undersigned remains valid as long as I have not informed my veterinarian in writing that the purpose for which I keep my pigeons has changed. Digitally signed signature keyboard Clear Veterinarian who has received this declaration: Drs H.J.M de Weerd Van de Reijtstraat 21 4814 NE Breda +31 (0)76 5600 222 Terms and Conditions I have read and agree to the terms and conditions. News and actions Yes, keep me posted This information is used exclusively for our own administration and will be treated confidentially. • ¹ Letter SANCO / MN / ia / ddgl.d.6 (2014) 197249 • ² REGULATION (EC) NO. 470/2009 OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL dated 6 MAY 2009 Article 2: (b) “food-producing animals”: animals which are bred, kept, slaughtered or collected specifically for the purpose of producing food. Indien je een mens bent, laat dit veld leeg:. Sent