Mares Name:

Breed:

Reg No:

Date of Birth:

Height:

Colour:

Breeding  (if known)

Sire:

Breed

Dam:

Breed

Dam's Sire

Breed

Mare Family name (if known)

STALLION CHOSEN:

Date  mare will
arrive at Stud:

Type of Covering:

Natural Cover / Frozen Semen * (delete as appropriate)

Mare's Breeding Record ( please delete those not applicable)

a)

MAIDEN

First time mare has been to Stud

b)

BARREN

Previously Covered by:

Date:

c)

IN FOAL

Covered By:

Date Due to foal:

d)

LOST FOAL

Covered By:

Date Lost foal(s)

In order to assist us with getting your mare in foal as quickly as possible please give details of any past injuries/damage received by the mare as a result of breeding, or any problems previously incurred when trying to breed her.  Please also advise if there is anything we should know about the mares behaviour:-

MARE OWNER'S DECLARATION

I hereby declare that I have read and accept all the Terms and Conditions for Visiting Mares

Signed

Date:

Name (Please Print)

Address:

Tel. No: