(sent by USAHR) SPECIAL MARE BREEDING CERTIFICATE

INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED UNTIL ALL INFORMATION REQUIRED IS SUBMITTED AS A BUNDLE.
Please send completed forms and payment also using the Work Order Registration Only. Registration applications received incomplete, including fees, will be subject to delays in processing, or may be returned without processing. All persons applying for registration are responsible for knowledge of the current governing Registration Regulations of USAHR. Be careful to spell names correctly and write or print plainly to avoid errors. ALL FEES ARE NON-REFUNDABLE and NON-TRANSFERRABLE *Restart Registration Application (part of Foal Certificate of Registration) $100 fee + all other fees due.
______Check here if an Embryo Transfer was used for this foal. All Embryo rules must be followed including purchase of the Permit.
______Check here if a lease is involved and the lease is on record with USAHR before the breeding was done.
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Check here if Variant (Genetic) Health Panel Testing has been done and include the results as per the Genetic Testing Form.
Be Sure Mare Owner Submitted to USAHR the Mare Live Foal Report before Registering the Foal – Be sure to include any Transfer forms required, with fee, as well as Microchip, Freeze, and all pictures required: Head Markings, Leg Markings, Hoof Color, and Whorls and Night Eyes if required. DNA kit & Genetic Panel Testing Form is required.

MARE OWNER MUST SIGN HERE TO REGISTER FOAL. A LEASE MUST BE ON FILE AND/OR EMBRYO TRANSFER MUST BE SUBMITTED BEFORE MARE IS BRED AND FOLLOW USAHR RULES FOR REGISTRATION

I certify the mare named __________________________________ Registration # ______________ was bred to (NAME OF

STALLION)____________________________________________ Registration # ________________ as listed on the 20 _____ Stallion Breeding Report. I agree the foal (horse) will be subject to registration requirements as described in the Rules and Regulations of US Arabian Horse Registry effective at the time of application. As owner of the dam at the time the horse to be registered was foaled, I certify that all information on this registration application is correct to my personal knowledge, and agree that USAHR has the right to correct and/ or cancel the registration certificate under its rules. I authorize USAHR access to any DNA genetic testing results on file for the dam from any business or association that has access to or control of such results.

Mare Owner Name, printed ____________________________________________________________________

Mare Owner Signature ________________________________________________________________________

Mare Owner Membership #________________