FIDDES RACING WALK-IN MARE FORM

Registration Form For Walk in Mare

NOMINATION FORM FOR MARES COMING TO STUD FOR ON SITE OR WALK IN STALLIONS
This form does not guarantee a nomination to a particular stallion.
1. Enter owners Details
Forename *
Surname *
Address line 1
Address line 2
Post code
Telephone Number *
E-mail *
Preferred method of contact

Email Telephone

2. Enter mare details
Name of mare *
Height
Age
Breed
Colour
Is the mare:

Barren Maiden Foal at foot
Last date the mare was in foal or due date if in foal
Last date the mare was in foal or due date if in foal *
Date of last known season (if known)
Please give any History of or issues with past coverings i.e. twin pregnancy fluid retention etc.

By law the passport must accompany the mare to stud
Passport (life identity) number *
Passport or legible photocopy
Is the passport page signed ‘Not for human Consumption’ (We may not be able to use some fertility treatments if this page is not signed)

Yes No
Permission for the vet to sign if needed

Yes No

CEM and EVA certificates must accompany the mare to stud and must be current (after the first of January of the current year.)

If tests are already completed please fill below
Date of EVA Blood Test
Dates of CEM test(s)
We do not accept mares if they are NOT vaccinated
Is the mare vaccinated *

Flu Tetanus Other
Is she insured for vets fees?

Yes No
Are they informed she is here?

Yes No

I hereby declare that to the best of my knowledge the above metioned resident mare is not suffering from any contagious disease likely to be a risk to the stallion at the stud *

Accept
No EHV-1 virus abortions, cases of Strangles, stillbirths or relevant contagious diseases (e.g. EVA, EIA, CEM, Influenza, Salmonellosis, Dourine, etc.) have occurred within the last six weeks, nor are any such cases currently under investigation other than those who have received total clearance from the appropriate authorities. *

Accept
The information received on this form will only be used for internal Fiddes Racing business and will not be sold or given to any third party.
Enter the message as it's shown *
Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm

Registration Form For Walk in Mare