| NOMINATION FORM 2008 WOOLASTON STUD | |
I,_______________________ agree to take a nomination to ____________________ at a stud fee of £ ____________ Name of Owner: _____________________________________ |
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| Telephone:Daytime:______________ |
Evening: _____________________ |
| Mobile: ______________ | E-mail: _____________________ |
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| Willesley Veterinary Package YES/NO | |
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NAME OF MARE (REG): ___________________________________________________ Stable Name: _______________________________________ |
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BREED: _______________________ HEIGHT: _______________________ REGISTRATION No: ______________ |
AGE: ______________________ COLOUR: ______________________ SOCIETY: ______________________ |
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SIRE: ____________________________
BREEDING HISTORY (Dates Covered) |
DAM: ____________________________ Live foal/Barren/Aborted _______________ _______________ Or date foaled: _______________ |
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| Vaccination dates (all mares): | Foaling down mares if applicable: |
| Tetanus _________________ | 1st Equine Herpes |
| Equine Flu _________________ | 2nd Equine Herpes |
| 3rd Equine Herpes | |
| Any special requirements: | |
| Farrier: | |
| Date last trimmed: ________________ | |
| Date of CEM: | Date of last EVA Certificate: |
| (Please attach report) | (Please attach report) |
| When do you expect to send mare to stud? _______________________________ | |
| Is the mare currently covered by a comprehensive insurance policy? YES/NO | |
| Please make us aware
of other information or special requirements you may feel necessary.
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| I have completed the above agreement to the best of my knowledge and have read and agree to the terms and conditions offered by Woolaston Stud | |
| Signature: ________________________ | Date: ________________________ |
| Woolaston Stud, The Old Rectory, Woolaston, Lydney, Glos GL15 6PR | |
| www.woolastonstud.co.uk hannah@woolastonstud.wanadoo.co.uk | |
| Tel: 01594 529543 / 07879 883554 / 07831 584823 | |
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