Report of Mares Bred

Name of Stallion:

Season (Year):

Stallion Standing at:

Address:

City:

State:

Zip Code:

Email:

Phone Number:
Please enter as (xxx)xxx-xxxx

Mares

Name of Mare Owner of Mare First Date Bred (Enter as xx/xx/xxxx) Last Date Bred (Enter as xx/xx/xxxx)

Name of Mare

Owner of Mare

First Date Bred (Enter as xx/xx/xxxx)

Last Date Bred (Enter as xx/xx/xxxx)

Please furnish this information

Number of Mares Bred:

Number of Mares Reported

In Foal:

Barren:

Not Reported:

Name:

Owner
Authorized Agent

Signature:

I certify that all information provided is correct

Address:

City:

State:

Zip Code:

Phone Number:
Enter as (xxx)xxx-xxxx

Stallion Information Name of Stallion:

Year Foaled:

Color:

By:

Out of:

Sire of Dam:

Stallion Owner's Name:

Address:

City:

State:

Zip Code:

Email:

Phone Number:
Enter as (xxx)xxx-xxxx

Name of Farm Where Stallion Will Stand Next Season:

Address:

City:

State:

Zip Code:

Phone Number:
Enter as (xxx)xxx-xxxx

Please list below (in the appropriate section) the Thoroughbred stallions, if any, which you owned or boarded during the current calendar year and which are now:

(1) Deceased:

(2) Retired:

(3) Not Being Bred to Thorougbred Mares:

(4) Left the State:
(Please indicate where and when sent)

Mares

Please furnish this information

Number of Mares Reported

Please list below (in the appropriate section) the Thoroughbred stallions, if any, which you owned or boarded during the current calendar year and which are now:

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