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:
Sire's Sire: Stallion Mare Gelding Sire's Dam:
Sire's Dam: Stock Pleasure Saddle Gaiting Dam:
Dam: Color Type (Pinto Arabian or Pintabian) Dam's Sire:
(Pinto Arabian or Pintabian) Dam's Sire: Tobiano Overo Solid Dam's Dam:
Bred by State (Please include other registration papers to verify % Arabian Blood.)
State (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 STATEMENT MARE'S OWNERS STATEMENT
MARE'S OWNERS STATEMENT I certify that I bred the Stallion named below: I certify that I owned the mar named below:
I certify that I owned the mar named below: Name: Name:
Registration Number: 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
The date the foal was born, to the best of my knowledge, and there are no liens or other encumbrances on this foal. Name:
On this day Month Year Signature:
Signature: Signature: Co-Owner:
Co-Owner: Signature:
Membership Fee: $30.00 Register Horse: $35.00
Copyright (C) IPAR, Inc. 2009 All rights reserved
We have the express written authority to photocopy your
horse upon registration. (Your limitations upon request)
You can fill this form out and press the Submit button to send it ahead so I can start preparing your file. Please print this off and SIGN it so that you can send this along with your papers of the parents and your fees. Thank you.
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3105 Joe Dowlen Rd. Fax: 615-746-2445
Fax: 615-746-2445Pleasant View, TN 37146 Lmpintoarabian@aol.com
Please insert an X in the box that applies.
