PDF Version Required fields in bold. Name of Stallion Select One... Borrego Elite Squadron Five Star Day Pollard's Vision Mare Owner's Information Owner's Name Address (Street or Box) City State Select One... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Phone Fax E-mail Mare's Information Name of Mare Year of Birth Color Sire Dam Dam's Sire Current Status None In Foal Barren Slipped or Aborted Maiden Not Bred Mare's 2009 Produce (if applicable) Foaling Date Color Sex Stallion Bred to in 2008 Last Date Covered in 2008 Mare's Import Status Import for 2009 Season? Yes No Import Date Country of Origin Mare's 2009 Boarding Farm Farm Address (Street or Box) City State Select One... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Farm Manager or Contact Person Farm Phone Attending Veterinarian Veterinarian Phone 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. Mare's Recent Produce History Foal of 2008 Sire of Foal Date Foaled Color Sex Foal of 2007 Sire of Foal Date Foaled Color Sex Foal of 2006 Sire of Foal Date Foaled Color Sex

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