Office Hours: Monday - Sunday: 7:30am - 4:00pm
Holidays: 7:30am - 12:00pm
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Telephone: 859-873-7053

Fax: 859-873-5723

Email: [email protected]

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2025 Breeding Shed Form


BREEDING SHED FORM/PAPERWORK MUST BE SUBMITTED BEFORE MARE ARRIVES AT SHED
For a PDF version of this form, click here. PDF forms must be emailed to [email protected]

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Stallion:
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Breeding Date:
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Breeding Time:
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Mare Name:
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Color:
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Age:
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Boarding Farm:
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Boarding Farm Phone:
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Boarding Farm Email:
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Veterinarian Name:
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Veterinarian Mobile:
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Comments:
Please list any information relating to status, condition, or disposition of his mare that you feel is important for the breeding shed to know
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All mares must have proper identification when being presented for breeding (halter or neckstrap with her name).

Uterine cultures, when required, must be taken within 30 days for 1st trip and subsequent to the last breeding date for the 3rd and following trips. A negative (Class 1) uterine cytology may be substituted in lieu of a uterine culture.

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Please select the appropriate category and attach the necessary documents to this shed form:

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Shed Requirements:
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1st Trip:
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2nd Trip:
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3rd Trip:
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4th Trip:
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Double:
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1st Trip:
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2nd Trip:
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3rd Trip:
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4th Trip:
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Double:
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1st Trip:
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2nd Trip:
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3rd Trip:
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4th Trip:
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Double:
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1st Trip:
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2nd Trip:
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3rd Trip:
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4th Trip:
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Double:
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1st Trip:
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2nd Trip:
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3rd Trip:
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4th Trip:
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Double:
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1st Trip:
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2nd Trip:
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3rd Trip:
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4th Trip:
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Double:
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Certificates Upload:
Upload your documents...
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Please enter the following information for the point of contact for this mare.


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Name:
Name
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Phone Number:
Phone Number
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E-mail Address:
E-mail Address
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CEM and EVA Requirements: Three Chimneys Farm will comply with the 2025 regulations set forth by the USDA and the Kentucky Department of Agriculture pertaining to CEM and EVA.

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Mares bred to Three Chimneys stallions must be vaccinated for Equine Herpes Virus Type-1 between 7- 90 days prior to breeding. Signature below warrants mare has been vaccinated and information on form is correct.

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All terms and conditions of the Stallion Service Agreement for the mare are hereby incorporated herein by reference and made a part hereof.

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The undersigned hereby expressly grants Three Chimneys Farm and its representatives the authority to tranquilize, reinforce or open the mare if deemed necessary or appropriate for the purposes of breeding the mare to the stallion.

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Signature:
Signature Required
Signature Required
Today's Date:
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