International Pinto Arabian Registry, Inc.
I request this horse be registered under the following name.
Please limit your name choices to 20 letters. We will try to use your first choice, but please list 3 choices.
(Print Very Clearly)
1st Choice _______________________________________________________ 2nd Choice __________________________________________________________
3rd 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
Registry Number Percentage of Arabian Blood ______________% Sire: ______________________________________________________________
Sire: ______________________________________________________________ Date Foaled ________________________________ Sire's Sire _______________________________________________________
Stallion _______ Mare _______ Gelding _______ Sire's Dam ______________________________________________________
Stock Pleasure ________ Saddle Gaiting_______ Dam ______________________________________________________________
Color ________________ Type _______________ Dam's Sire ______________________________________________________
Tobiano _______ Overo _______ Solid _________ Dam's Dam _____________________________________________________
Bred by ____________________________________ State________ (Please include other registration papers to verify % Arabian Blood.)
Please be sure to include FOUR photos, front, rear, right side, & left side. (Please be sure to include the whole body)
To register your horse - Members = $35.00 Non-members $50.00
Non-members $50.00 *Are your IPAR Membership dues current? Yes, my membership number________________ / No ____ (I would like to become a member)
Membership Fee = $30.00 (Annually)
Owners Information:
This horse is to be registered to _____________________________________________________________________________________________________________
Address ______________________________________________ City ______________________________________ State _____________ Zip __________________
Day Phone ( ) _____________________________ Night ( ) ______________________________ e-mail ____________________________________________
To be completed for first time foal registration only.
Stallion's Owner Statement Mare Owner's Statement
Mare Owner's Statement I certify that I bred the Stallion named below: I certify that I owned the mare named below.
I certify that I owned the mare named below. Name ________________________________________________ Name __________________________________________________________
Name __________________________________________________________ Registration & No. ____________________________________ Registration & No. ______________________________________________
Registration & No. ______________________________________________ To the Mare named below: The date the foal was born, to the best of my knowledge, and there are
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 of Owner ____________________________________
Copyright (c) IPAR 2009 All rights reserved.2010
IPAR, INC.
