REPORT ON COLLECTION OF SEMEN NAPHA FROZEN SEMEN PROGRAM
Name of Stallion _______________________________________________________ Stallion's NAPHA Registration Number __________________________________ Recorded Owner(s) of Stallion __________________________________________ Address of Owner(s) ____________________________________________________ Location of Collection _________________________________________________ Location of Storage ____________________________________________________
Name of Veterinarian or AI Technician __________________________________ I certify that the stallion named above was artificially collected at the location and on the dates listed here. Enclosed is a full report on the semen collected (daily A.I. report), the volume frozen and the procedures used for freezing it. Dates of Collection, Volume of Semen Frozen, Motility, Concentration, Freezing Procedure, # straws 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Date ______________________ Signature of Recorded Owner(s) of Stallion ______________________________ Signature of Veterinarian or AI technician _____________________________ This form must be filed within 15 days of the last day of the month in which the semen was collected. The fine for late filing is $50. The resulting foal will not be registered and Stallion Owner not allowed to continue to participate in this Test Program until any fine due is paid.
Contact NAPHA at:
3095 Burleson Retta Road
Burleson, Texas 76028
Tel: (817) 447-7574 Fax: (817) 447-2450
e-mail: info@pphrna.org