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   Stallion    

    Date

Name


E-mail


Address



City / State / ZIP


Phone
    Fax

   Mare Owner Information - if different from above.

Name


E-mail


Address



City / State / ZIP


Telephone
    Fax


   Mare Information

Tatoo Number


Mare Name


Sire


Dam


Dam's Age


Dam's Sire


Status: Foaling Barren Maiden Not Bred

Is Mare Imported? No Yes -- Date

Stallion Bred to in 2015


Last Date Bred in 2015


2016 Foaling Date ( if applicable)


Color / Sex


   Boarding Information

Mare's Boarding Farm in 2016


Farm Address



Telephone
    Fax

Farm Manager
    Manager Phone

Farm Veterinarian
    Veterinarian Phone


   Mare's Produce History

Year Foaled    Color & Sex     Sire of Foal
2015       
2014       
2013       


   Comments / Questions

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