Owner Information:
First name:
Last name:
Telephone:
Email address:
Farm Name:
Mailing address:
Breeder Name, State/Country: (the owner of the dam at time of foaling is considered to be the breeder)
Horse Information
	* required Name of Horse  * required Date of Birth  * required Country of Birth Date of importation if applicable
Choose one:	Stallion Mare Gelding
Choose all that apply Black & White Red & White Bay & White Gray & White Gray Blagdon Black Bay Palomino Chestnut Buckskin Other
use this space to explain "other" color, markings, tattoos, micro chip number etc. Check this box if this horse is a result of Embryo Transfer
	Sire / Sires Reg # GrandSire (Sire side) / Reg # GrandDam (Sire's side)/ Reg #
	Dam / Dam's Reg # GrandSire (dam's side) / Reg # GrandDam (dam's side) / Reg #
Additional pedigree information or other info we should have
I will pay the registration fee by (select one)	Mail in a Check Credit Card in the GVHS Store Paypal