| General Information
- Please do not enter any links or the form will not be processed. |
| Name of Stallion: (required) |
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| Name of Mare Owner: (required) |
(Please indicated the Name of Owner in the way you wish it reported to The Jockey Club) |
| Mare Name: (required) |
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| Year of Birth: |
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| Mare's 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
Barren
Maiden
Slipped/Aborted
Not Bred
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| Mare's Previous Produce (If Applicable): |
| Foaling Date: |
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| Sex: |
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| Color: |
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| Stallion Bred to last year |
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| Last Years Cover Date |
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| IMPORT STATUS: Is this mare an IMPORT for the current Breeding Season? Yes
No
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| Import Date: |
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| Country of Origin: |
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| If imported, was mare imported as: Maiden
Barren
Foaling
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| Boarding Farm while in Ky: |
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| Farm Phone: |
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| Farm Manager or Contact Person: |
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| Veterinarian: |
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| Telephone: |
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| Mare's Recent Produce History: |
| Sire of Last Year's Foal: |
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| Date of Last Year's Foal: |
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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:
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| Owner (or Authorized Agent): |
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| Telephone Number: |
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| E-Mail: |
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