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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 2022


 Last Date Bred in 2022


 2023 Foaling Date ( if applicable)


 Color / Sex
   Boarding Information

Mare's Boarding Farm in 2023


 Farm Address
Telephone
     Fax

Farm Manager
     Manager Phone

Farm Veterinarian
     Veterinarian Phone


   Mare's Produce History

Year Foaled    Color & Sex     Sire of Foal
2022       
2021       
2020       


   Comments / Questions

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