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Stallion

Name


E-mail


Address



City / State / ZIP


Phone

    Fax

Mare Owner Information -Mare Owner Information (as reported to the Jockey Club): if different from above.

Name


E-mail


Address



City / State / ZIP


Telephone

    Fax

Are there any security interests, liens, encumbrances, or adverse claims against this mare?
No Yes
If yes, please list details in the space below

Mare Information



Mare Name


Sire


Dam


Dam's Sire


Status: Foaling Barren Maiden Not Bred

Is Mare Imported? No Yes -- Date

Stallion Bred to in 2016


Last Date Bred in 2016


2017 Foaling Date (If applicable)


Color / Sex


Boarding Information

Mare's Boarding Farm in 2017


Contact


Telephone

Mare's Produce History

Year Foaled    Sire of Foal     Foaling Date
2016       
2015       
2014       


Comments / Questions