STALLION BOOKING FORM

Please use this form to book your stallion in for semen collection and dummy training

This form must be completed IN FULL before the stallion arrives at Brackenspa Stud.

OWNER / AGENT DETAILS

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

STALLION DETAILS

Name

Passport Number

Microchip Number

DOB

YYYY

Breeding History

Service Required

Nomination contract defined?

Semen collecting / dummy training

has the stallion ever been collected from before?

Any relevant medical history or behavioral history

HEALTH STATUS

Date of CEM test and results

Date of EVA EIA test and results

STALLION LIVERY

Please complete the following section if your horse is stay at the stud

Flu and Tet due date

YYYY

Date last wormed

YYYY

Date last farrier visit

YYYY

Has the stallion been ill in the last 6 months

Date of arrival

YYYY

Planned duration of stay

Feed and care instructions

DECLARATION

I have read and understood Brackenspa Stud Farms Price List and Terms and Conditions. I agree that my horse has been signed out of the Foodchain. By signing the booking from, I accept that additional costs may be incurred during the breeding works over and above the detailed package costs. Please ensure you notify us should you have a specific budget cap you do not want exceeding

Signed

Name

Date

YYYY

I consent to images of my horses to be used for marketing purposes