Transcription of Registration Application Office use only
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Registration Application Office use only
First Name Choice: Second Name Choice:Third Name Choice:o Check this box if you do not want APHA to select a name if the above name choices are in use or not : o Stallion o Mare o Gelding, Date Gelded (Month/Day/Year): _____/ _____/ _____Foaling Date (Month/Day/Year): _____/ _____/ _____ State Where Foaled: _____Breeding Method Used: o Transported Semen o frozen Semen o embryo transfer o Artificial Insemination o Live CoverColor: o White o Black o Bay o Brown o Chestnut o Sorrel o Red Roan o Blue Roan o Bay Roan o Palomino o Cremello o Perlino o Smokey Cream o Red Dun o Dun o Grullo o Buckskin o Gray o Amber Champagne o Classic Champagne o Gold ChampagneColor of Mane:_____Color of Tail: _____Type: o Tobiano o Overo o Tovero o SolidRemarks: List other unusual identification markings or color (including scars or brands). List location of brand. Indicate if you expect (genetics for Regular Registry) or (pedigree option) consideration for the _____ _____This horse is also registered with the following: o AQHA _____ o Jockey Club _____ o Other _____(please include horse s registered name/number and a copy of its AQHA or Jockey Club Registration certificate)Does this horse have blue eyes?
Breeding Method Used: o Transported Semen Frozen Semen Embryo Transfer Artificial Inseminationo o Live Cover Color: o White o Black o Bay o Brown o Chestnut o Sorrel o Red Roan Blueo Roan Palominoo Bay Roan o o Cremello Perlinoo o Smokey Cream Redo ChampagneDun Buckskino o Grullo o o Gray o Amber
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