NORTH AMERICAN PERUVIAN HORSE ASSOCIATION  

MARE OWNER STATEMENT NAPHA FROZEN SEMEN PROGRAM


                      For the Year of___________


I (we)____________________________________________ being the recorded owner(s)
of the purebred Peruvian Paso mare listed below, grant permission for my (our)
mare to be bred by frozen semen to the purebred Peruvian Paso stallion (listed
below) that has been enrolled in the NAPHA Program for Frozen Semen.  I (we)
understand that the resultant foal will be eligible for registration in the
Peruvian Paso Stud Book of the NAPHA under the Registry rules and regulations. 
I (we) am (are) famililar with the rules governing the use of shipped frozen semen
and agree to abide by them.  I specifically understand that my mare and the
resulting foal will have to be blood &/or DNA typed and parentage verified
in order for my foal to be registered.  I further release the NAPHA from any
responsibility or liability whatsoever in regard to this Program.


1)   Mare's Name_______________________________________________________

2)   Mare's NAPHA Registration Number_________________________________

3)   Mare's Blood Type __________________ on file __________________ not on file

4)   Mare's DNA Type __________________ on file __________________ not on file

5)   Stallion's Name __________________________________________________

6)   Stallion's NAPHA Registration Number ____________________________

7)   Place of Insemination ____________________________________________

8)   Name, address and phone number of veterinarian or AI technician performing the

     insemination______________________________________________________

     __________________________________________________________________


Date __________________________________________________________________

Signature of Recorded Owner(s) ________________________________________



This form must be filed with the NAPHA prior to any breedings by Shipped, Frozen Semen.
The fine for late filing is $50.  The Mare's blood &/or DNA type need not be on file at 

the time of filing, but it is recommended that it be done prior to foaling.
                  
                         THIS REPORT MUST BE FILED EACH YEAR.

Contact NAPHA at:
3095 Burleson Retta Road
Burleson, Texas  76028
Tel: (817) 447-7574 Fax: (817) 447-2450
e-mail: info@pphrna.org

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