STALLION NOMINATION FORM Please complete the online form below to order semen. We will contact you shortly after receiving the form. Please also email a copy of the mare’s pedigree and a copy of the CEM swab to: Sally at hrpsal@aol.comMany thanks in advance. Stallion Selection Airborn £600 LFG (fresh | chilled semen availible) Dunhill Desert Storm £500 + VAT LFG (fresh | chilled | frozen semen availible) Furst Summer £600 LFG (fresh | chilled semen availible) Derringer £350 + VAT LFG (fresh | chilled semen availible) Kinsky Abraham £450 + VAT LFG (fresh | chilled semen availible) Greenhall Supersonic £550 LFG (fresh | chilled semen availible) Samaii £600 LFG (fresh | chilled | frozen semen availible) Popenhoe Picture Perfect £350 LFG (fresh | chilled semen availible) Frozen Semen Stock Amaretto M £300 Athens Mumbo Jumbo £300 + VAT Crowns Wonder Pearl £400 + VAT Don Ricoss £300 Multicolor II £200 Renkum Valentino £300 + VAT Tornado FCS £500 + VAT Sambertino £300 Type of semen * Chilled Frozen Fresh Mare Owners Name * First Name Last Name Addres * Email * Phone * (###) ### #### Name of Mare * Registration, passport number and society * Mare DOB * MM DD YYYY Mares Sire Mares Dam Mare's * Breed | Color | Height Breeding History (if known) Medical history (i.e. any allergies, past injury) * Veterinary surgeon (name, address, contact number) Brackenspa Terms & Conditions * All stallions CEM, EIV and EVA negative. All mares must have a negative CEM swab prior to being covered by any stallion standing at Brackenspa stud, any mare that has been imported from outside the UK must have a negative EVA blood test and all mares entering Brackenspa stud for AI, Natural Service or Foaling must have a negative strangles blood test prior to arrival. All mares must have their hind shoes removed prior to being covered, previous date and type of wormer must be made aware to the stud manager along with influenza and tetanus injections. Mares remaining at stud for any length of time shall be routinely wormed. Passports must accompany mares to stud and any equipment left with the mare must be labelled. It is recommended that all mares be insured. The stud offers no insurance cover on behalf of owners, all mares boarding at the stud for insemination or natural service do so at the owner’s risk. In the case of accident, injury or illness the stud reserves the right to call a veterinary surgeon and take advice in the event of the owner being unreachable. Any veterinary work carried out while the mare is at stud will be billed direct to the owner. All owners are required to pay their livery, worming, farrier and stud fee before the mare leaves stud. The resident stallions all operate on a no foal free return basis which must be certified by a practicing veterinary surgeon on or before 1st October. Whilst at stud every care shall be taken of your mare, and foal, but Brackenspa stud and its employees shall not be held liable for any loss, theft, damage, injury or death to any animal and shall indemnify us against all actions, proceedings, costs, claims or demands so caused. Frozen semen is sold on a per dose basis. Postage is via Royal Mail. Brackenspa Stud accepts no liability for delays/errors made once semen is posted on agreed service STUD FEE & COLLECTION FEE MUST BE PAID IN FULL PRIOR TO DISPATCH OF SEMEN. All prices are subject to VAT. I have read and accepted the T & C's Additional Infromation Sign Name * Print Name * Date MM DD YYYY Thank you!