REPORT ON SHIPMENT OF SEMEN NAPHA FROZEN SEMEN PROGRAM
Name of Stallion _______________________________________________________ Stallion's NAPHA Registration Number __________________________________ Recorded Owner(s) of Stallion __________________________________________
Address of Owner(s) ____________________________________________________ Name of Mare ___________________________________________________________ Mare's NAPHA Registration Number ______________________________________ Description of Mare [Color & Markings]__________________________________ ________________________________________________________________________ Mare Owner's Veterinarian or AI Technician _____________________________ I certify that frozen semen from the stallion named above is being stored at ______________________(location) . At the written request of the owner of said stallion, I have shipped frozen semen from said stallion by ______________________(method of shipment) to _________________________ ______________________(mare owner's veterinarian or AI technician) on the dates shown below for use with the mare listed above. Dates of Shipment Semen Shipped (# straws) Method of Shipment 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Date ______________________ __________________________________________________________________ Signature of Veterinarian or AI technician in charge of frozen semen This form must be filed by January 10th of the year following these breedings. 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