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Stallion
Date
Name
E-mail
Address
City / State / ZIP
Mare Owner Information -Mare Owner Information (as reported to the Jockey Club): if different from above.
Name
E-mail
Address
City / State / ZIP
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 2012
Last Date Bred in 2012
2013 Foaling Date ( If applicable)
Color / Sex
Boarding Information
Mare's Boarding Farm in 2013
Contact
Telephone
Mare's Produce History
Comments / Questions
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