Stallon Contract Breeder Information Breeder’s Name:* Address:* City:* State:* Zipcode:* Phone:* Email:* Stallion Information (the “Stallion”) Select Stallon:*SelectLordswood Bernstein SLGK CalucciC DiscretoFiti ALFlamenco YMGallant Reflection HUGeorge ClooneyGlorioso NoirWoodbury’s HarlequinJaysonLantanasLeonbergLouisville HTFNegroNoble ChampionOliviC OlivoPik LPikko del Cerro HUPopeyeQreditRoyal PrinceRoyal PrinzRubineroSternlichtTalisman 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 . Attach FIle: 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:* Address:* City:* State:* Zipcode:* Special Delivery Instructions: Waive Signature: YesNo Contact Information:* Preferred Airport for Shipping if Same-Day Shipment Needed: Veterinary Information (if different than Shipment Destination) Vet’s Name: Clinic Name: Address: Contact Information: 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.