NORTH AMERICAN PERUVIAN HORSE ASSOCIATION
MARE OWNER STATEMENT NAPHA SHIPPED, FRESH 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 shipped, fresh semen to the purebred Peruvian Paso stallion (listed below) that has been enrolled in the NAPHA Program for Shipped, Fresh 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 fresh 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 ____________date tested 4) Mare's DNA Type _____________ on file ____________date tested 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, Fresh 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