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Transcript of $33/,&$7,21 )25 5(*,675$7,21 0,66285, )2; 75277,1* +256 ...
APPLICATION FOR REGISTRATION
PLEASE PRINT CLEARLY OR TYPE A. FOALING INFORMATION
Stallion Gelding
B. NAME OF HORSE: 30 character maximum, Name must not conflict with any other horse, living or dead.
1st Choice
C. BREEDER CERTIFICATE for SIRE & DAM
Sire’s Name (stallion): ________________________________________________________ Registration #_________________ DNA #_____________
Owner of stallion at time of breeding:__________________________________________ Signature:________________________________________
Dam’s Name (mare):___________________________________________________________ Registration #________________ DNA #_____________
Owner of mare at time of breeding:_____________________________________________ Signature:_______________________________________
Last Date Bred: Pasture Bred (date in & out)_____________________________________________
Natural Service Artificial Insemination-Mare’s permit# Embryo Transfer-permit#
SEX: Mare
State Foaled In:
Country Foaled
In: Foaling Date
All information must be completed and fees must accompany application.
I (We) hereby certify that information contained in this application is correct: that this horse is eligible for registration under the Rules of the Association.D. Owner Information: Must be a current member to register a horse
1)Foal Owner #1 Printed Name__________________________________ Member #____________________ New Member? Yes __ No___
2)Foal Owner #2 Printed Name__________________________________ Member #____________________ New Member?
Signatureͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ�Phone:_________________________ Email:_______________________________________
Address:_________________________________________________ City, State, Zip:______________________________________________________
Signatureͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ�Phone:_________________________ Email:_______________________________________
Address:_________________________________________________ City, State, Zip:______________________________________________________
Yes __ No___
MISSOURI FOX TROTTING HORSE BREED ASSOCIATION
Omission of fees is an incomplete application. Incomplete applications
will be returned to sender. Please refer to MFTHBA rule book for fees.
Gold Papers Requested (foal, sire & dam must all be DNA tested at the MFTHBA lab of choice and foal be parentage verified).
2nd Choice
3rd Choice
__________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
______________________
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______________________
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