Free qh mare app blank year 8.5 color - Indiana

State Form 49940 (R7/4-08)

Quarter Horse Mare Registration Application for Foaling Year

For Office Use Only:

Applications postmarked after the deadline will require mare to be bred back to a registered Indiana Stallion.

Complete

AQHA Certificate

All mares in foal must be re-registered with the Indiana Horse Racing Commission every year.
Name of Mare Age Currently in Foal to Estimated Foaling Date Owner(s) of Mare Address of Owner(s) City Telephone Number(s) Home Fax Name of Farm where Mare will Foal Owner or Manager of Farm Address of Farm City State Zip E-Mail Address State Zip Business Sire Dam Last Cover Date Date Mare Will Enter Indiana

Telephone Number of Farm Owner or Manager Name of Vet Servicing Farm Specific directions to farm from nearest interstate or state road:

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Fill out this section only if mare entered the State of Indiana after the deadline or if application is postmarked after the deadline.
Name of Registered Indiana Stallion to be bred back to Owner of Stallion Telephone Number of Stallion Owner

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

For Foals of 2009 and beyond:
71 IAC 14.5-2-1 Mare registration Authority: IC 4-31-3-9 Affected: IC 4-31 Sec. 1. (a) In order to be eligible to register a quarter horse foal as Indiana bred, such foal must be: (1) foaled in Indiana and its dam must be registered with the commission; (2) registered and have entered Indiana by November 1, 2008, by July 1, 2009, and each year thereafter; and (3) remain in Indiana continuously until foaling. (b) A current copy of the mare's American Quarter Horse Association registration certificate or front and back of the mare's Jockey Club papers along with lease agreements are to be included with the registration. (c) In the event a mare entered Indiana or is registered with the commission after November 1, 2008, by July 1, 2009, and each year thereafter, the foal (which must be foaled in Indiana) may be eligible to be registered as an Indiana bred. To be eligible, the mare must be: (1) bred back to a registered Indiana stallion in the year of foaling for the foal to qualify as an Indiana bred; and (2) the stallion must be registered with the commission in the year the foal was conceived. (d) If the mare fails to conceive when bred or is unfit to breed due to health reasons, a veterinarian certificate is required from a licensed veterinarian. (e) If the mare does not conceive, she must: (1) remain open for that breeding season in order for the mare's current foal to be eligible to be registered as an Indiana bred; and (2) remain in Indiana for a period of thirty (30) days from the foaling date and the mare and foal must be inspected by a commission representative prior to leaving the state. (f) The commission must be notified in writing and provide proper documentation for any mare and/or foal leaving the state for medical treatment. (g) Mares in foal must be reregistered every year. (Indiana Horse Racing Commission; 71 IAC 14.5-2-1; emergency rule filed Nov 15, 2000, 11:40 a.m.: 24 IR 1036; emergency rule filed Aug 23, 2001, 9:58 a.m.: 25 IR 123; readopted filed Oct 30, 2001, 11:50 a.m.: 25 IR 899; readopted filed Mar 23, 2007, 11:31 a.m.: 20070404-IR-071070030RFA; emergency rule filed Jan 24, 2008, 10:58 a.m.: 20080206-IR-071080056ERA, eff Jan 23, 2008 [IC 4-22-2-37.1 establishes the effectiveness of an emergency rule upon filing with the Publisher. LSA Document #08-56(E) was filed with the Publisher January 24, 2008.]; errata filed Feb 18, 2008, 2:03 p.m.: 20080305-IR-071080056ACA)

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No Registration Fee Required
Mail or fax signed form with a copy of the AQHA Certificate 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]

All mares entering or registering after the deadline are REQUIRED to fill in the date of entry on the front of this application.

Copies of AQHA papers or (front and back) of Jockey Club papers must accompany the application along with copies of lease agreements.

To register a Quarter Horse foal with the IHRC, applicants must submit a completed and signed official application available from the IHRC for each horse to be registered. Applications for these foals must be received within twelve (12) months of the horse's foaling date.