New Mexico Bred – Embryo Transfer Please enable JavaScript in your browser to complete this form. NEW MEXICO BRED NUMBERName of Foal *Color *Sex *MaleFemaleBirth Date *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Sire *Dam *Mare's last breeding date for this foal *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Recipient Mare *Date of Embryo Transfer *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920NAME & ADDRESS OR DESCRIPTION of ranch or farm location where foal was born: *City *State *Zip Code *Donor Mare (Dam)LIST all locations where mare was kept during her pregnancy. (DESCRIBE EACH LOCATION IN DETAIL)The information requested below is to be provided in as much detail as possible. The Association reserves the right to require that additional information be provided prior to final processing of this application. The Association also reserves the right, at any time, to require that additional information be provided to verify the accuracy of your representations.Donor Mare (Dam) Location #1 Enter location name and address where Donor Mare was kept while Recipient Mare was in-foal. *Date Donor Mare Arrived at Location #1: *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Date Donor Mare Left Location #1: *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Donor Mare (Dam) Location #2 (If applicable) Enter second location (name and address) where Donor Mare was kept while Recipient Mare was in-foal.Date Donor Mare Arrived at Location #2:MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Date Donor Mare Left Location #2:MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920If space provided is insufficient for a complete description, please attach additional dates and information in 'File Upload' section below. Recipient Mare (the mare that carries the foal)LIST all locations where mare was kept during her pregnancy. (DESCRIBE EACH LOCATION IN DETAIL)The information requested below is to be provided in as much detail as possible. The Association reserves the right to require that additional information be provided prior to final processing of this application. The Association also reserves the right, at any time, to require that additional information be provided to verify the accuracy of your representations.Recipient Mare Location #1 Enter location name and address where Recipient Mare was kept while in-foal. *Date Recipient Mare Arrived At Location #1: *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Date Recipient Mare Left Location #1: *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Recipient Mare Location #2 (If applicable) Enter second location name and address where Recipient Mare was kept while in-foal.Date Recipient Mare Arrived at Location #2:MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Date Recipient Mare Left Location #2:MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920If space provided is insufficient for a complete description, please attach additional dates and information in 'File Upload' section below. File UploadAttach any additional information here Click or drag a file to this area to upload. Owner of Sire (NMHBA will determine this if unknown -type UNKNOWN in the space below) *Was this by Transported Semen? *NoYes**TRANSPORTED SEMEN means the semen was taken from the farm where the stallion stands to another location. This must match what is on the AQHA registration papers. This is NOT the same as artificial insemination (AI)! AI is done at most farms, and does NOT need to be noted.If this was by Transported Semen, to whom & where was the semen shipped? *Location where breeding took place *City *State *Zip Code *Owner *IndividualPartnership/Farm/SyndicatePartnership/Farm/Syndicate Name *Owner's Name *FirstLastPhone *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Breeder *IndividualPartnership/Farm/SyndicateThe breeder of record for all foals prior to 2019 is the owner of the dam at the time of foaling. Thoroughbred Breeder of record is the owner of the dam at time of foaling. Starting with foals born in 2019, the Quarter Horse Breeder of record is the owner of the dam at time of conception.Partnership/Farm/Syndicate Name *Breeder's Name *FirstLastPhone *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePlease be advised that the Association relies upon the accuracy of your representations concerning the Breeder. You are acknowledging, by executing this form, that you will hold the Association harmless if you have misrepresented any information concerning the Breeder and the Association has relied to its detriment upon that information.PaymentRegistration as a New Mexico Bred IS NOT COMPLETE UNTIL WE HAVE RECEIVED FROM YOU THE ORIGINAL FOAL CERTIFICATE PAPERS FOR FINAL APPROVAL AND STAMPING. If you do not have a current membership, please fill out a membership application and submit payment for EACH owner listed on this application as well. Registration Fee (ALL HORSES AGE JANUARY 1!) *Weanlings ($60)Yearlings ($150)2 Year Olds ($1,000)Older ($2,000)I CONFIRM THAT THE INFORMATION PROVIDED IN THIS FORM IS TRUE, COMPLETE, AND ACCURATE *FirstLastDate Submitted *FOR OFFICE USE ONLY: (Seal Affixed)_________________________________FOR OFFICE USE ONLY: (NM Bred Number)___________________________Upon Completion of this form, you will be redirected to payment pageCommentSubmit
