This form may be completed by the stallion owner or leaser ONLY !

Payment via required for processing.

If you rather pay with a check/money order please print a form to mail along with payment.

Stallion Report (Form S)     

Stallion *

Registry 

#       (If Registered with NQHR fill in registration number and click here to skip to next section)

Body Color *

Mane Tail

Height

Date Foaled:  

Sire

Registry

#

Body Color

Mane Tail

Height

Dam

Registry

#

Body Color

Mane Tail

Height

Record for the year of *   

Location of Stallion*  

State*  

Fill in as many mares as needed then skip down to Owner Verification. If more than 10 mares please submit a second stallion report for the remaining mares.

MARE 1                                                                                                                                       

Name*

Registry

#      (If Registered with NQHR fill in registration number and click here to skip to next section)

Color *

Height

 A Hand = 4 Inches

Date Foaled

Sire

Registry

#

Dam

Registry

#

Owner *

NQHR Member  #

Address*  

City *

State*  

Zip*

Phone:

Email:

Date (s) bred:          

       Acceptable date forms:   4/21/2004       4/21/04       April 21rst 2004      4/04 - 8/04                  Methods: Hand bred, AI, Pasture, Embryo Transfer,

Method of Breeding:

Done with mares skip to end

MARE 2   

Name *

Registry

#      (If Registered with NQHR fill in registration number and click here to skip to next section)

Color *

Height

 A Hand = 4 Inches

Date Foaled

Sire

Registry

#

Dam

Registry

#

Owner *

NQHR Member #

Address *

City*

State*

Zip*

Phone:

Email:

Done with mares skip to end

 MARE 3   

Name *

Registry

#        (If Registered with NQHR fill in registration number and click here to skip to next section)

Color

Height

  A Hand = 4 Inches

Date Foaled

Sire

Registry

#

Dam

Registry

#

Owner *

NQHR Member  #

Address *

City*

State*

Zip*

Phone:

Email:

MARE 4   

Name *

Registry

#      (If Registered with NQHR fill in registration number and click here to skip to next section)

Color

Height

A Hand = 4 Inches

Date Foaled

Sire

Registry

#

Dam

Registry

#

Owner *

NQHR Member #

Address *

City*

State*

Zip*

Phone:

Email:

Done with mares skip to end

 MARE 5   

Name *

Registry

#         (If Registered with NQHR fill in registration number and click here to skip to next section)

Color

Height

Date Foaled

Sire

Registry

#

Dam

Registry

#

Owner *

NQHR Member #

Address *

City*

State*

Zip*

Phone:

Email:

Done with mares skip to end

MARE 6   

Name *

Registry

#         (If Registered with NQHR fill in registration number and click here to skip to next section)

Color

Height

 A Hand = 4 Inches

Date Foaled

Sire

Registry

#

Dam

Registry

#

Owner *

NQHR Member  #

Address *

City *

State*

Zip*

Phone:

Email:

Done with mares skip to end

 MARE 7   

Name *

Registry

#       (If Registered with NQHR fill in registration number and click here to skip to next section)

Color

Height

 A Hand = 4 Inches

Date Foaled

Sire

Registry

#

Dam

Registry

#

Owner *

NQHR Member #

Address *

City *

State *

Zip*

Phone:

Email:

Done with mares skip to end

 MARE 8   

Name *

Registry

#         (If Registered with NQHR fill in registration number and click here to skip to next section)

Color

Height

  A Hand = 4 Inches

Date Foaled

Sire

Registry

#

Dam

Registry

#

Owner *

NQHR Member #

Address *

City *

State *

Zip*

Phone:

Email:

Done with mares skip to end

     MARE 9   

Name *

Registry

#       (If Registered with NQHR fill in registration number and click here to skip to next section)

Color

Height

 A Hand = 4 Inches

Date Foaled

Sire

Registry

#

Dam

Registry

#

Owner *

NQHR Member #

Address *

City *

State *

Zip*

Phone:

Email:

Done with mares skip to end

MARE 10   

Name *

Registry

#       (If Registered with NQHR fill in registration number and click here to skip to next section)

Color

Height

 A Hand = 4 Inches

Date Foaled

Sire

Registry

#

Dam

Registry

#

Owner *

NQHR Member #

Address *

City *

State *

Zip*

Phone:

Email:

Stallion Ownership Verification

Name *

Phone *

Fax

Address