Gender: *

Choose one STALLION GELDING MARE SPAYED MARE CHRYPTORID

Identification

Body Coloring: *     White markings/areas will be listed below!

Choose One BLACK (Jet Black no gold) BLACK (Black with gold areas) SMOKEY BLACK (Black+Creme) SMOKEY CREAM (Black+Double Cream) BLUE ROAN (Black+Roan) BLACK SILVER (Black+Silver) CLASSIC (Black+Champagne) GRULLA (Black+Dun) SORREL CHESTNUT PALOMINO (Red+ Creme) CREMELLO (Red+Double Cream) RED ROAN (Red+Roan) GOLD CHAMPAGNE (Red+Champagne) IVORY (Red+Cream+Champagne) RED DUN (Red+Dun) DUNALINO (Palomino+Dun) BAY BUCKSKIN (Bay+Creme) PERLINO (Bay+Double Cream) BAY ROAN (Bay+Roan) AMBER (Bay+Champagne) IVORY (Bay+Champagne+Cream) BAY SILVER (Bay+Silver Dapple) DUN (Bay+Dun) DUNSKIN (Buckskin+Dun) PEARL WHITE WHITE WITH FRECKLES DARK GRAY LIGHT GRAY BROWN     

If you are not familiar with colors please choose one of the body colors below:

Choose One (If color unknown) Black (No gold) Black with gold areas Black with white intermixed (roan) Dark Gray Gray Light gray White Brown Chocolate Orange Bronze Gold Yellow Cream Silver Red Red with white intermixed (roan) Peach Apricot Ivory

What color Tail? *  

Please Choose One Same shade as body little lighter than body little darker than body Black White Chocolate/Brown Flaxen gold, yellow, or tan mixed black/white mixed yellow/white mixed body color and white

What color mane? *

Please choose one Same shade as body little lighter than body little darker than body Black Chocolate/Brown Flaxen White black/white yellow/white red/white yellow, cream, or tan

What color Skin? * Most noticeable under tail and inside nose.

Choose One Dark or Black White or Creme Pinkish Pink with speckles Purple with speckles  

Factors:*   Please choose all that may apply

Graying: White hairs mixed in with black or gray on head/body.

Roan: White hairs mixed in with any other body color not on head/legs.

Roaning: White hairs at top of tail or flanks. Not on body/head/legs.

Dappling: Iridescent circular or lighters flake type patterns on body.

Brindle: Stripe pattern generally on ribs.

Shadowing: Dark hairs on/over back and shoulders, may spread down sides, and/or a dorsal stripe which only appears in certain light or times of year.

Dorsal stripe: dark stripe down center of back may be accompanied by stripe up chest or shadowing.

Leg barring: Stripes on legs around/above knees or hocks.

Face mask: a darker coloring on nose or forehead and up front of face.

Spider webbing: Lines running off/away from face mask.

What color are the horses eyes? *     

Left:  Please Choose Dark or Black Light Blue Dark blue Bronze/Amber/Gold Green/Hazel Same as Body Other   

Right:   Please Choose Dark or Black Light Blue Dark blue Bronze/Amber/Gold Green/Hazel Same as Body Other

Check more than one if the horse has two different colored eyes.

What color were the horses eyes at birth?    

Left:   Please Choose Dark or Black Light Blue Dark blue Bronze/Amber/Gold Green/Hazel   

Right: Please Choose Dark or Black Light Blue Dark blue Bronze/Amber/Gold Green/Hazel

MARKINGS

Legs:

 General Outlines markings may vary       * A marking which "runs" into another area      ** Colored spot within white marking

My horse has white markings on the:*   Check all that apply

Left Front Leg:             

No white markings Coronet half pastern pastern sock stocking white spot on hoof line white spot at pastern level white spot at sock level white spot at stocking level       Extended       Bendor Spot

Left Hind Leg:              

No white markings Coronet half pastern pastern sock stocking white spot on hoof line white spot at pastern level white spot at sock level white spot at stocking level       Extended       Bendor Spot  

Right Front Leg:           

No white markings Coronet half pastern pastern sock stocking white spot on hoof line white spot at pastern level white spot at sock level white spot at stocking level        Extended       Bendor Spot 

Right Hind Leg:          

No white markings Coronet half pastern pastern sock stocking white spot on hoof line white spot at pastern level white spot at sock level white spot at stocking level       Extended       Bendor Spot

Head:*   General Outlines markings may vary

Chin

Star

Strip

 Snip

Blaze

Apron

Bald

Medicine Hat/Bonnet                          

Connected: Star and Strip  Strip and Snip  Snip and Chin  Strip, Snip, And Chin  Blaze and Chin 

Extended*:   Star  Strip  Snip  Chin  Blaze  Bald

Bendor Spot** on: Star  Strip  Snip  Chin  Blaze  Apron  Bald

Body:*  Please check all that apply.   Gray, Roan, and Roaning patterns should not be considered white markings here.

Stomach   Chest     Neck      Back      Flanks    Most of  Body

  More specific white body markings:

Tobiano     Overo     Tovero       Sabino   Splashed

*May be over roan pattern     ** Maybe dark on light or roan horses and light on dark bodied horses.

OWNERSHIP HISTORY

Current Owner of Applicant horse/pony: *  

If you have submitted an application and have not yet received a # please type "Pending" If you are a nonmember please type in "N/A"

Mailing Address: *

City, State/Province: *

Zip/Postal code: *

Country:*

Email Address:   

Phone*:   

Date horse/pony was purchased by current owner: *  

Name of person horse was purchased from: *  

Seller last known Address:

Seller City:

State/Province purchased in: * 

Seller Country/District:*           

Seller Phone/Email:

Full address preferable but if not known State/Province, Country only is acceptable.

Phone or Email:

Breeder

Owner of Dam (Mother) at foaling:

City:

State/Province:

Country/District:

If you have a Breeders Certificate please enter the reference number (found on the certificate) here 

 and skip to the Application Verifications section.

Parentage Verification

SIRE OF APPLICANT HORSE:

Stallion Name* 

 Registry*  #*  

Color*   Unknown BLACK BROWN Bay WHITE WHITE WITH FRECKLES DARK GRAY LIGHT GRAY Chestnut Sorrell Red Dun Liver Grullo Palomino Cremello Dun Buckskin Perlino Smoky Black Smokey Creme Ivory Champagne Golden Champagne Classic/ Champagne Silver Dapple Red Silver Dapple   Body Pattern if applicable:   Solid /white Roan Brindle Tobiano Overo Tovero Splashed White Medicine Hat Sabino Frosted Blanket leopard frosted Other

Owner*(at time of breeding)  

Address*  City*  State*

Zip*     Email     Phone

Sires sire

 Name*  Registry*  #*   

Color  Unknown BLACK BROWN Bay WHITE WHITE WITH FRECKLES DARK GRAY LIGHT GRAY Chestnut Sorrell Red Dun Liver Grullo Palomino Cremello Dun Buckskin Perlino Smoky Black Smokey Creme Ivory Champagne Golden Champagne Classic/ Champagne Silver Dapple Red Silver Dapple Body Pattern if applicable:   Solid /white Roan Brindle Tobiano Overo Tovero Splashed White Medicine Hat Sabino Frosted Blanket leopard frosted Other

Sires Dam

Name*  Registry*  #*  

Color  Unknown BLACK BROWN Bay WHITE WHITE WITH FRECKLES DARK GRAY LIGHT GRAY Chestnut Sorrell Red Dun Liver Grullo Palomino Cremello Dun Buckskin Perlino Smoky Black Smokey Creme Ivory Champagne Golden Champagne Classic/ Champagne Silver Dapple Red Silver Dapple Body Pattern if applicable:   Solid /white Roan Brindle Tobiano Overo Tovero Splashed White Medicine Hat Sabino Frosted Blanket leopard frosted Other

DAM OF APPLICANT HORSE:

Mare Name*   Registry*  #*  

Color*   Choose One BLACK BROWN WHITE WHITE WITH FRECKLES DARK GRAY LIGHT GRAY TAN RED PEACHY RED DARK RED SILVER ORANGISH COPPER GOLD YELLOW CREME  Body Pattern if applicable:   Solid /white Roan Brindle Tobiano Overo Tovero Splashed White Medicine Hat Sabino Frosted Blanket leopard frosted Other

Owner*(at time of breeding)  

Address*  City*  State*

Zip*     Email     Phone

Dams Sire

Name*  Registry*  #*  

Color*   Choose One BLACK BROWN WHITE WHITE WITH FRECKLES DARK GRAY LIGHT GRAY TAN RED PEACHY RED DARK RED SILVER ORANGISH COPPER GOLD YELLOW CREME  Body Pattern if applicable:   Solid /white Roan Brindle Tobiano Overo Tovero Splashed White Medicine Hat Sabino Frosted Blanket leopard frosted Other

Dams Dam

Name*  Registry*  #*  

Color*   Choose One BLACK BROWN WHITE WHITE WITH FRECKLES DARK GRAY LIGHT GRAY TAN RED PEACHY RED DARK RED SILVER ORANGISH COPPER GOLD YELLOW CREME  Body Pattern if applicable:   Solid /white Roan Brindle Tobiano Overo Tovero Splashed White Medicine Hat Sabino Frosted Blanket leopard frosted Other

Optional: If you would you like N.Q.H.R staff to complete any missing pedigree information: Color, reg. numbers, etc. This is optional and is a flat fee of $10.00 and is only available for parents/grandparents who have been recorded with N.Q.H.R or another official registry.  

YES

Please keep in mind the more complete your certificate is the more valuable it becomes.   

 VERIFICATIONS

Name of person completing application:* 

Section hoping to qualify for? * 

Please choose one Section A full blooded Section B Quarter Type Section C Paint Type Section D Open UNSURE  

 By submitting this form I agree to release all the information herein to the National Quarter Horse Registry for recording and educating purposes. I understand that the names, address and personal information on this application will not be released to anyone with out my permission, unless requested by a court of law. I agree to abide by all the rules, regulations, and any amendments made thereto by N.Q.H.R..  I further understand and agree by joining N.Q.H.R. or by purchasing, transferring, filling for registration, or any other service provided by the National Quarter Horse Registry I warrant I will not commence any action whether in law or equity against the National Quarter Registry in any court federal or state. I understand that by clicking the agree button below I am entering my digital signature to this application hereby certifying that I am the legal owner of the applicant horse, and all of the information being submitted on the application is true and correct to the best of my belief and knowledge.*