New Mexico Bred Application Please enable JavaScript in your browser to complete this form.FOR OFFICE USE ONLY (NM BRED NUMBER)Breed *ThoroughbredQuarterhorseName of Foal *Color *Sex *MaleFemaleBirth Date *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Sire *Dam *Mare's last breeding date for this foal *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920DESCRIBE ranch or farm location where foal was born: *City *State *Zip Code *Pregnancy 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.Location #1 *Date Arrived at Location #1: *Date Left Location #1:Location #2 (If applicable):Date Arrived at Location #2:Date Left Location #2 (if applicable):If space provided is insufficient for a complete description, please email additional information to NMHBA@nmhorsebreeders.comSireOwner of Sire (NMHBA will determine this)If this was by Transported Semen, to whom & where was the semen shipped? Otherwise put N/A. Note transported semen is not the same as artificial insemination. *Location where breeding took place *City *State *Zip Code *OwnerOwner's Name *FirstLastPhone *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *BreederThoroughbred 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. The breeder of record for all foals prior to 2019 is the owner of the dam at the time of foaling.Breeder's Name *FirstLastPhone *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict 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 your membership fees are not paid-up, please enclose annual dues. Upon completion of this form, you will be redirected to a payment page. Registration Fee *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 AffixedFOR OFFICE USE ONLY (NM Bred Number)Upon completion of this form, you will be redirected to payment page.EmailSubmit
