NOTICE: MUST FILL OUT COMPLETELY (Right-click on page, then click print)
INTERNATIONAL PINTO-ARABIAN REGISTRY (IPAR / PINTABIANS)
NEW MEMBER ____ / RENEWAL MEMBER ____ MY MEMBERSHIP NUMBER ___________
FARM/RANCH NAME _________________________________________________________________________________
YOUR NAME ____________________________________ SPOUSE'S NAME ___________________________________
MAILING ADDRESS ____________________________ CITY ____________________ STATE _____ ZIP __________
HOME PHONE _________________________ OTHER ______________________ CELL __________________
Annual Membership dues are $35.00 individual or family (January 1 - December 31)
(Please check all that apply) My family and I are interested in:
Pleasure Riding ___ Showing ____ Competitive ____ Speed Event ____ Breeding ___ Equine Health _____
Other: (Please specify) ______________________________ My email address: ________________________________
I agree that when I become a member, I will abide by all rules of International Pinto Arabian Registry, Inc. and
I will always endeavor to uphold the highest ethical practices in all my dealings with IPAR and their owners, handlers,
trainers and all other associated with these beautiful animals. I realize by my signature, I am stating under oath that
all information given to IPAR, is the truth to the best of my knowledge and aware of the penalty of Law.
Signature ____________________________________________________________ Date ______________________________
IPAR is not affiliated or associated with International Arabian Horse association, Pinto Horse Association,
or any other registry or association of any type.
3105 JOE DOWLEN RD.
PLEASANT VIEW, TN 37146
New email: firstname.lastname@example.org
(If no answer, please leave a message.)
NOTICE: Whereas stated information contained in this document is presented to be true and correct to the best of the owners knowledge., whereby said
owner, assumes all liability. Any known acts of fraud or misrepresentation, should be reported to your local authorities, and IPAR for revocation of
membership and prosecuted by law for acts of verifiable fraud. This includes the corrections of owners lawful name and also as to the intentions
presented to IPAR.
Copyright (c) 2009 IPAR, all rights reserved.
International Pinto Arabian Registry *** IPAR
One Flat Rate $50.00 USA / $60.00 International (International Please add $12.00 for postage)
USA Certified Mail add $10. / Reg. Mail $3.00
Horse Registration Form
You MUST fill out the ENTIRE Registration to avoid a delay)
1st CHOICE ___________________________________________ 2nd Choice ________________________________________________
SIRE ______________________________________________________________________________________________ / _______ % Arabian
SIRE'S SIRE ________________________________________________________________________________________________
SIRE'S DAM _______________________________________________________________________________________________
DAM _____________________________________________________________________________________________ / _______ % Arabian
DAM'S SIRE _______________________________________________________________________________________________
DAM'S DAM _______________________________________________________________________________________________
% ARABIAN BLOOD __________ Verified DATE FOALED _________________ BRED BY _______________________________________________
STALLION _____MARE _____GELDING _____STOCK PLEASURE ______SADDLE GAITING ______ COLOR ______________TYPE ___________TOBIANO ___________OVERO _________SOLID ________
ARE YOUR IPAR MEMBERSHIP DUES CURRENT? NO _____ / YES ____ MEMBERSHIP NUMBER __________________
THIS HORSE IS TO BE REGISTERED TO ________________________________________________________________________________
ADDRESS ______________________________________ CITY _________________________________ STATE __________ ZIP _________
DAY PHONE ______________________________ EVENING ___________________________ EMAIL _________________________________________________
TO BE COMPLETED FOR FIRST TIME FOAL REGISTRATION ONLY
STALLION'S OWNER STATEMENT MARE'S OWNER STATEMENT
I certify that I bred the Stallion named below. I certify that I owned the mare named below.
NAME ___________________________________________________ NAME ______________________________________________
REGISTRATION # ________________________________________ The date the foal was born, to the best of my knowledge,and there are no liens or other encumbrance of this foal. TO THE MARE NAMED BELOW:
NAME ___________________________________________________ SIGNATURE _______________________________________
One this day _______ month ____________ year ____________ CO-OWNER ________________________________________
IT IS VERY IMPORTANT TO FILL OUT COMPLETELY.
Don't forget to send a copy of BOTH parents papers with their PERCENTAGES. all documents, pictures, and fee to:
"IPAR" 3105 JOE DOWLEN RD. PLEASANT VIEW, TN 37146
Take pictures (all 4 sides) make sure the poses with colors & patterns (etc) For your Certificate.
NOTICE: Whereas stated information contained in this document is presented to be true and correct, to the best of the owners knowledge
whereby said owner assumes all liability. Any known acts of fraud or misrepresentation, should be reported to your local authorities, and
IPAR for revocation of membership and prosecuted by law for acts of verifiable fraud. This includes the corrections of owners lawful name
and also as to the intentions presented to IPAR