Telephone: 859-873-7053

Fax: 859-873-5723

Email: [email protected]

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2025 Mare Information Form


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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Mare Identification:

Mare's Name:
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Sire:
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Dam:
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Dam's Sire:
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Birth Year:
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Color:
  • - select a option -
  • Dkb/br
  • Bay
  • Ch
  • Gray/Roan
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Mare Status:

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2025 Foaling Date:
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Color:
  • - select a option -
  • Dkb/br
  • Bay
  • Ch
  • Gray/Roan
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Sex:
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Mare History:

Was this mare bred in 2024?
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Stallion Bred to in 2024:
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Last Date Bred in 2024:
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Mare Owner / Billing Information:

Name:
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E-mail:
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Phone Number:
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Owner phone number or mobile number is required!
Mobile Phone Number:
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Address:
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City
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  • - select a state -
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
- select a state -
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Zipcode
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Comments:
Please list any information relating to status, condition, or disposition of your mare that you feel is important for the breeding shed to have on file.
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Boarding Farm Information:

Mare's Boarding Farm:
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Farm E-mail:
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Farm Manager:
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Manager Cell Number:
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Signature:
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Today's Date:
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SUBMIT FORM
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Mailing Address: P.O. Box 114, Midway, KY 40347
Email: [email protected]
Tel: (859) 873-7053
Fax: (859) 873-5723

Three Chimneys Farm
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