MARE INFORMATION SHEET

NAME OF MARE ___________________________________________

SIRE __________________________ DAM __________________________

BREED _______________ COLOR _____________ YEAR OF BIRTH ______

REGISTRATION # _____________

PRESENT BREEDING STATUS:

MAIDEN ___ NOT BRED ___ BARREN ___ SLIPPED ___

FOAL AT SIDE ___ (Date Of Birth ________)

IF "IN FOAL" OR "FOAL AT SIDE" GIVE SIRE’S NAME _______________________

OWNER OF MARE ___________________________

MAIL ADDRESS _____________________________

CITY,STATE,ZIP ______________________________

TELEPHONE __________________Alternate number ____________________

APPROVED AND ACCEPTED

DIAMOND J FARMS

BY _____________________________

Please return this sheet along with a copy of the Mare’s Registration Certificate

Thank you for your patronage.