Artifical Insemination Mare Breeding Agreement Mare InformationRegistered Name:Breed:Age:Owner’s Name:Address:Phone:HomeCellPrior Foaling History:Last Signs of Heat:Stallion InformationRegistered Name:Breed:Owner’s Name:Address:PhoneHomeCellFarm Name:Stallion Manager’s Name:PhoneHomeCellCollection Days: M T W Th Fr Sa Su Odd Even Number of days notice required:Call before:AMPMAMPMShipping ContainerEquitainerFoamReturn Must be returned within Does not need to be returned hoursShipperFederal ExpressUPSDHLAirport to AirportOtherI hereby give permission to NPEC to discuss my mare’s medical information as it pertains to her reproductive status, up to and including pregnancy status and resultant birth, with stallion’s owner/agent.Print NameDateSignatureI hereby agree to pay NPEC for all services rendered related to the breeding of my mare plus the daily boarding rate. A deposit of one half of the estimate for my mare’s stay will be due on admission and the balance of actual expenses incurred at the time of discharge.Print NameDateSignature
