NORTH AMERICAN PERUVIAN HORSE ASSOCIATION

   
   NAPHA Embryo Transfer Program
Permit Request 


     I (we),_____________________________________ , the recorded owner(s)
of the mare listed below, am (are) herewith informing the NAPHA of my (our)
intention to attempt to recover an embryo from this mare for transfer to a
recipient mare.  I (we) are familiar with the rules and regulations regarding
Embryo Transfer in the NAPHA and agree to be bound by those rules.  It is
understood that only two foals born within a particular year may be registered
and that only mares with at least one, registered purebred offspring are
eligible for this program.


Name of Mare__________________________________________________________________

NAPHA Registration Number of Mare____________________________________________

Stallion to which mare will be bred___________________________________________ 

NAPHA Registration Number of Stallion________________________________________

Location of Breeding__________________________________________________________


Type of Breeding:        [ ]  Natural Service               [ ]  A.I.


          [ ]  Shipped, Fresh Semen          [ ]  Shipped Frozen Semen


Veterinarian who will perform E.T.____________________________________________

     Address__________________________________________________________________

     Phone____________________________________________________________________                

     Hospital/Univeristy Affiliation__________________________________________



Signature of Mare Owner(s)____________________________________________________


Date__________________________________________________________________________


This Permit must be on file at least 20 days prior
to the first flushing of the donor mare for the
Embryo Transfer procedure.  Fine for late filing: $100
NAPHA * 3077 Wiljan Court, Ste. A, Santa Rosa, CA 95407 * (707) 579-4394

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