IPAR 2011
Application for New Membership or Renewal of Membership
INTERNATIONAL PINTO ARABIAN REGISTRY, INC.
Renewal of Membership ____ My Membership Number is: ____________________ (New Member?) _____
Please print all information "CLEARLY" in black ink. (Or type)
Farm/Ranch Name _______________________________________________________________________________
Your Name _________________________________________ Spouse's Name ______________________________
Dependent Children & Ages (Optional)___________ Your Email Address: __________________________________
Mailing Address _______________________________ City _____________________ State ______ Zip _______
Home Phone ______________________ Other __________________________ Cell __________________________
Annual dues are $30.00 per individual or family. Children under 18 may join without their family for $10.00 each.
Amount enclosed $ __________________ My family and I are interested in: (Please check all that applies) Pleasure Riding ________ Showing ___________
Competitive __________ Speed Event ___________ Breeding __________
Equine Health _________ Other (Please specify) __________________________
I agree that I will abide by all rules of International Pinto Arabian Registry, Inc., its shows and other activities,
and I will always endeavor to uphold the highest ethical practices in all my dealings with Pinto Arabians and their owners, handlers, trainers and all others associated with this beautiful animal.
Signature ______________________________________________ Date __________________________
Please print this application on this screen or we will send you one in the mail.
After filling out application, send it to the address below.
International Pinto Arabian Registry, Inc.
3105 Joe Dowlen Road
Pleasant View, TN 37146-9046
email - Lmpintoarabian@aol.com
www.pintoarabians.com
International Pinto Arabian Registry, Inc.
Horse Registration
I request this horse be registered under the following name. (Limit 20 letters per name & 3 choices.)
First Choice ______________________________ Second Choice __________________________
Third Choice _________________________ (All of this info is for your certificate, so we must be able to read application.)
Information about your horse:Pedigree Information Registry Number Percentage Of Arabian Blood _________ % Sire: _________________________________
Date Foaled ______________________ Sire's Sire: _______________________________
Stallion ____ Mare ____ Gelding ______ Sire's Dam: ______________________________
Sire's Dam: ______________________________ Stock Pleasure ____ Saddle Gaiting _____ Dam: ________________________________
Color __________ Type ____________ Dam's Sire: ______________________________
Dam's Sire: ______________________________ Tobiano _____ Overo _____ Solid _____ Dam's Dam: ______________________________
Bred by _________________ State____ (Please include other registration papers to verify % Arabian Blood.)
(Please include other registration papers to verify % Arabian Blood.) (Please include FOUR photos, front, rear, right side and left side. Be sure to include the whole body.)
*Are your IPAR membership dues current? Yes, member number ___________________________ / No ____ (But I would like to be)
(Insert X if answer is no.)
OWNER IMFORMATION: This horse is to be registered to
Address ___________________________________City _________________________ State _______ Zip ______
Day Phone __________________________ Night ___________________________ Email ____________________
TO BE COMPLETED FOR FIRST TIME FOAL REGISTRATION ONLY.
STALLION'S OWNER STATEMENTMARE'S OWNERS STATEMENT
MARE'S OWNERS STATEMENT I certify that I bred the Stallion named below: I certify that I owned the mare name below:
I certify that I owned the mare name below: Name: ___________________________________________________ Name: ___________________________________
Registration Number: ______________________________ Registration Number: ________________________
To the Mare named below: The date the foal was born, to the best of my knowledge, and there are no liens or other encumbrances on this foal. Name: __________________________________________________ Signature: _________________________________
Signature: _________________________________ On this day ________ Month ___________ Year ___________ Co-Owner: ______________________________
Co-Owner: ______________________________ Signature: ______________________________________________
Signature: ______________________________________________ Please send all your documents you have, and fees for
your horse(s) to be registered and we will send you a beautiful registration certificate. 3105 Joe Dowlen Rd. Pleasant View, TN 37146 615-746-4333 (Please leave a message.) Membership Fee: $30.00 / Register Horse: $35.00 Lmpintoarabian@aol.com www.pintoarabians.com
We have express written authority to photocopy your horse upon registration. Your limitations upon request. Copyright (C) IPAR, Inc. 2009 All rights reserved.
International Pinto Arabian Registry, Inc. is not affiliated or associated with International Arabian
Horse Association, Pinto Horse Association or any other Registry/Association of any type.
Also Registration Application
