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General Information
Name of Stallion:
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Share:
*
Name of Mare Owner:
*
Please indicate the Name of Owner in the way you wish it reported to The Jockey Club
Mare Name:
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Year of Birth:
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Mare Color:
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Sire:
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Dam:
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Dam's Sire:
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Mare's Current Status:
In Foal
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Barren
Maiden
Slipped/Aborted
Not Bred
Mare's 2012 Produce
Sire of Foal:
Foaling Date:
Color & Sex of Foal:
Stallion Bred to in 2011:
Last Date Covered in 2011:
Import Status
Is the mare an IMPORT for the 2012 breeding season?
Yes
No
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Import Date:
Country of Origin:
Boarding Information
Mare's 2012 Boarding Farm:
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Farm Phone:
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Farm Manager or Contact Person:
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Cell Phone:
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Farm Veterinarian:
*
Phone:
*
Mare's Recent Produce History
Year Foaled
Sire of Foal
Date Foaled
Color & Sex of Foal
2011
2010
Comments:
Please list any information relating to status, condition or disposition of your mare that you feel is important for the breeding shed to have on file:
Please Note:
If you purchased a season to this stallion through a shareholder or an agent, please list the number of the share's season purchased and/or the agent's name.
Mare Owner's Address:
(Street/City/State/ZipCode)
*
Phone Number:
*
Fax Number:
*
Email Address:
*
Enter the code shown:
This form must be on file prior to mare being booked. Thank you for your assistance.
