REGISTRATION APPLICATION
(PLEASE PRINT CLEARLY OR TYPE IN INFORMATION)
NAME
OF EQUINE: ___________________________________________________________________
SEX:
___________________DATE OF BIRTH:_________________________________________
SPECIES
(Circle): HORSE - PONY - DONKEY - MULE - ZEBRA - ZEBROID - ZEDONK
BREED
OR TYPE (Quarter Horse, Arabian - Grant’s, Damara, etc.): _____________________________
ASSOCIATION
and REG.# of any other organization (s) under which this equine is registered:
_____________________________________________________________________________________
BASE
COLOR (Bay, Sorrel, Dun, etc.) OF THIS EQUINE: _____________________________________
PATTERN
(Brindle, Striped, Netted, Heavy Dun Factor): ______________________________________
ADDITIONAL
UNUSUAL PATTERNS (Rosettes, Teardrops, Herringbone, etc.): ___________________
_____________________________________________________________________________________
MARKINGS
(Star, Blaze, Socks, etc.): ____________________________________________________
BRANDS,
TATOOS, MICROCHIP ID#: ____________________________________________________
NAME
OF SIRE:_____________________________________ REG.# ___________________________
NAME
OF DAM: ____________________________________ REG.# ____________________________
PLEASE
SEND FIVE GENERATION PEDIGREE OF THIS EQUINE, IF AVAILABLE, SHOWING COLORS,
REGISTRATION NUMBERS, AND OTHER PERTINENT INFORMATION.
BREEDER:
___________________________________________________________________________
(Name and address of the person who owned
this equine at the time of its birth)
OWNER:
_____________________________________________________________________________
(Your name, mailing address, and telephone
number)
SIGNATURE
OF OWNER: ______________________________________________________________
**PLEASE
FILL IN ALL KNOWN INFORMATION.TWO
CLEAR PHOTOS EACH OF FRONT, REAR, LEFT SIDE, AND RIGHT SIDE (EIGHT
TOTAL) MUST ACCOMPANY APPLICATION. INCLUDE CLOSE-UPS
OF ROSETTES, HERRINGBONE, OR OTHER UNIQUE PATTERNS.REMIT
WITH CHECK OR MONEY ORDER IN THE AMOUNT OF $25 PAYABLE
TO ANITA GARZA AND MAIL TO ANITA GARZA; BRINDLE AND
STRIPED EQUINE INTERNATIONAL; 11819 PUSKA; NEEDVILLE, TEXAS 77461.TELEPHONE
979-793-4207.
