Mare Booking Form

 

(Booking fee of $200 non-refundable)

 

 

STALLION: _________________________________________________________________________

 

 

 

MARE DETAILS

 

MARE NAME: ______________________________________________________ SUFFIX:_____________

 

 

SIRE: ______________________________________  DAM:_____________________________________

 

 

COLOUR:_________________ YEAR OF BIRTH: __________   Brand NS:_____________

 

 

BRAND OS:___________________

 

 

PRESENT LOCATION:___________________________________________________________________

 

 

IS THE MARE IN FOAL?   YES            NO                      COVERING STALLION:_____________________________

 

If mare not served in previous year, please provide brief details e.g. maiden mare, late foaling, infection, etc:

 

 

____________________________________________________________________________________

 

 

____________________________________________________________________________________

If mare barren, missed or slipped, please provide any known details:

 

____________________________________________________________________________________

 

____________________________________________________________________________________

 

 

Has your mare suffered any problems breeding or foaling during the last four years (Inc. dystocia/rectovaginal fistula)

 

YES            NO           Details:_____________________________________________________________

 

 

 

 

 

 

 

OWNER DETAILS

 

Registered owner(s) of mare:_______________________________________________________________

 

 

Address:______________________________________________________________________________

 

____________________________________________________________________________________

 

 

City: _________________________________________________ State:___________________________

 

 

Country:_______________________________ Post code:_______________________

 

 

Phone:_________________________________________________________

 

 

Fax:___________________________________________________________

 

 

Mobile:__________________________________  Office:_______________________________________

 

 

E-mail:_______________________________________________________________________________

 

 

 

Australian Stud Book Breeder Identification Number:_____________________________________________

 

 

NAME OF BOOKING AGENT (if applicable):___________________________________________________

 

 

 

 

 

 

Please print off and forward with a cheque payable to ‘CARIN PARK’ for $200 (non-refundable):-

 

CARIN PARK THOROUGHBREDS

7736 PORT FAIRY ROAD,

HAMILTON, VIC, 3300