Mare and Owner Information Sheet

Mare Owner/Agent*
Address*
City*
State*
Zip*
Home or Work Phone*
Cell Phone*
Fax
Email*
Breeding Manager/Veterinarian
Physical Semen Shipping Address
City
State
Zip
Daytime Phone
Evening Phone
Cell Phone
Email
Mare*
Breed*
Age
Color
Reg #
Date Of Vaccines And What Was Given
Booked To*
Stallion Contact Person
Phone
EVA Status*
Preferred Method Of Insemintation*
- Natural Service
- AI
- Cooled Shipped
- Frozen
Expected Arrival Date
Expected Foaling Date
Expected Earliest Breeding Date
Expected Earliest Semen Shipping Date
Reproductive History
Status Last Breeding Date Foaling Date Years Barren No. Of Foals Last Uterine Cult Date Culture Results Uterine Biopsy? Date/Grade

Status	Last Breeding Date	Foaling Date	Years Barren	No. Of Foals	Last Uterine Cult Date	Culture Results	Uterine Biopsy? Date/Grade