Stallon Contract Breeder Information Breeder’s Name: City: State: Zipcode: Primary Phone: Alternate Phone: Email: Address: Stallion Information (the “Stallion”) Select Stallon:SelectGK CalucciDenmark HTFLouisville HTFQreditRoyal PrinzSternlicht Have Promo Code ? Subtotal:$500 Apply Your Promocode: Total$492 Mare Information (the “Mare”) Mare’s Registered Name: Mare’s Barn Name: Will this be an embryo transfer breeding? YesNo Age: Breed: Registration #: Please attach a copy of your mare's registration papers. Registries Mare is Approved with: Preferred Registry for Foal: Mare’s Breeding Status: Planned Month of Breeding: Has your mare been tested for Warmblood Fragile Foal Syndrome (WFFS)? YesNo What is her status?: Please note If you are breeding to a WFFS carrier stallion documentation of your MARE’S negative carrier status must be provided Shipment Destination Information Attention: City: State: Zipcode: Address: Special Delivery Instructions: Waive Signature:YesNo Contact Phone: Contact Email: Preferred Airport for Shipping if Same-Day Shipment Needed: Veterinary Information (if different than Shipment Destination) Vet’s Name: Clinic Name: State: Phone Information: Cell Information: Fax Number: Email Address: Address: Signature Breeder’s Signature: Date of Contract & Agreement of Terms By typing my name here and entering todays's date, I signify that I have read the selected contract and agree to the terms and conditions.