Registration Form

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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

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)

 

Official registry of the Gypsy Vanner Horse

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