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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