Free QH foal app embryo blank year 8.5 color.pmd - Indiana

Quarter Horse

For Office Use Only:

Embryo Transfer Foal Registration
State Form 53499 (2-08)

Foal Registration Application for Foals Of
IHRC Reg. No.

Type or print the following information. Incomplete or illegible applications will be returned!
Name of Foal Foaling date Sire Date of Microchip Owner(s) of Foal Address of Owner(s) City Telephone Number(s) Home Fax Breeder of Foal E-Mail Address State Sex: Colt / Filly Dam

(If unnamed, so state) Color

Name of Licensed Indiana Veterinarian

Zip Business

(Owner of Donor Mare at Conception)

Breeder's Address City Breeder's Telephone Farm Address City State Zip State Name of Farm
(Where Foal was dropped)

Zip

Continued

It is understood that it is the sole responsiblity of the applicant to designate a name, address and a social security or federal I.D. number to be used when breeder awards are issued and that only one social security or federal I.D. number will be used. It is further understood and agreed that it is the designee's sole responsibility to distribute the breeder award to other owners or partners. Name of designated recipient of breeder award check Address where breeder award check should be mailed City Social Security or Federal I.D. number
(Only one SS# or Federal I.D. # can be used by IHRC)

State

Zip

I, represent that all information above is true and accurate and agree that registration of said foal may be revoked or denied for misstatement or omission in the foregoing application. Owner Signature Owner Printed Name Date

This completed application must be on file at the office of the Indiana Horse Racing Commission (IHRC) before any awards can be made from the Breed Development Fund. Mail or fax signed application to: Indiana Horse Racing Commission ISTA Center - Suite 530 150 West Market Street Indianapolis, IN 46204 Phone: (317) 233-0187 Fax: (317) 233-4470 Attention: Jacki Brown Quarter Horse Breed Development Director www.in.gov/hrc [email protected]

INCOMPLETE APPLICATIONS WILL BE RETURNED!

Continued

No Registration Fee Required

Failure to register by this date will result in the following penalty schedule: 12 months plus 1 day to December 31st of yearling year 2 year old year 3 year old and older

$ 200 $ 400 $1,000

EMBRYO TRANSFER RULE:
71 IAC 14.5-2-1.5 Embryo transfer registration Authority: IC 4-31-3-9 Affected: IC 4-31 Sec. 1.5. (a) In order to be eligible to register quarter horse embryo transfer foals as Indiana bred, foals must be: (1) foaled in Indiana; (2) the donor mare; and (3) recipient mare must be registered with the commission. (b) The donor mare and recipient mare must be: (1) registered and have entered Indiana by November 1, 2008 and by July 1, 2009 and each year thereafter; and (2) both mares must remain in Indiana continuously until foaling. (c) The donor mare and the recipient mare are limited to register one (1) foal each per foaling year as an Indiana bred. (d) In the event there is more than one (1) recipient mare: (1) one (1) recipient foal will be eligible to be registered as an Indiana bred. (2) it is the sole responsibility of the owner of the donor mare to choose and register the foals that are to be eligible to the Indiana bred program. (e) A copy of the donor mare registration papers and all lease agreements must accompany the application for identification and ownership purposes. (f) All foals resulting from an embryo transplant or from the donor mare that will be eligible to be registered as an Indiana bred must be: (1) microchipped (125 mhz) by a licensed Indiana veterinarian within thirty (30) days of foaling or before leaving the state whichever would be first. (2) this shall be done at the owner's expense with a microchip approved by the breed development advisory committee. (g) The recipient mare must be able to be identified by: (1) Indiana Breed Development identification form; (2) AQHA Certificate of Registration; or (3) microchip (125 mhz), (must be done by a licensed veterinarian at the owner's expense), copies must accompany the application. (h) The donor mare may leave the state to participate in: (1) stakes; (2) medical care; or (3) a mare leaving the state for an advertised public sale may: (A) be gone for the interval of the sale, but must return to Indiana within fifteen (15) days of her sale; and (B) written documentation of the sale is required. (i) The director of breed development must be notified in writing within fifteen (15) days of the departure and return of the advertised public sale. (j) All mares in foal must be registered every year. (Indiana Horse Racing Commission; 71 IAC 14.5-2-1.5; emergency rule filed January 24, 2008)