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Created: 2006/ Last Update:
December 22, 2006. This site is |
| Touch O’ Glory Appaloosa’s Shiloh Loop Naples Idaho, 83847 (208)267-1663 Mare information form Mare name________________________________color_______________age________ Registered owner(s) name_______________________________ home phone #___________________cell#________________ work#________________ address___________________________________ State ______zip code_________ Veterinarian___________________________________ phone #___________________ address__________________________________ State_________ zip code_________ if in foal, date due to foal_____________ tentative breeding date__________________ Non- foaling mares: tentative breeding date_______________ has mare ever been bred before? ______________ Does mare have a history of Colic or any other medical or feed issues we should be aware of? __________________________________________________________ Date of last rhino___________ date of last 4-way___________ date of last de-worming__________ Breeding history years bred (last 3 yrs only)______________________________ years foaled(last 3 yrs. only)_____________________________ Has mare ever aborted?__________ if yes, when, what type & treatment_____________ Caslic operation?_______ if , yes, when?___________ ever retained placenta?________ If yes, when,____________ does mare cycle regularly?___________ does she show heat well?_________ foaling damage or difficulty?_________________ Does she show false heat? _________ Date of last uterine culture_______________ For semen transport do you have access to a stallion or gelding to tease the mare? yes_____ no______ Please understand that it is essential to call the farm on the first day of your mares’ heat cycle to schedule for transported semen? yes______ no _______ Please understand that your designated Veterinarian must practice Equine reproduction as a regular part of their practice, must be available for palpation, cultures, other necessary procedures, and must consent to schedule and inseminate your mare for each shipment from breeder? yes ______no_______ Signature___________________________________ date______________ |
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Created: 2006/ Last Update:
December 22, 2006. This site is |