Mare information

Name of stallion

Mare name

Breeding

Date of birth

Colour

Sire

Dam

Dam sire

Grand dam

Passport no

Microchip no

2024 Cover details

Status

Last covering sire

Last service date

2024 Boarding stud

2025 Foal details

Covering notification

Please indicate who should receive e-mail notification of covering

Owner details

Registered owner’s name & address

Phone no

Fax no

Mobile no

Email

Address of stud where mare is normally kept

Phone no

Fax no

Mobile no

Email

Veterinary information

Has your mare tested positive for CEMO, Klebsiella pneumoniae and Pseudomonas aeruginosa at any time?

Yes

No

Has your mare ever had or been on a Stud Farm where an outbreak of Equine Rhinopneumonitis "Virus Abortion" has occured?

Yes

No

Has your mare ever had, or been in contact with, any other infectious diseases?

Yes

No

Mare temperament

Does the mare possess any temperamental abnormalities?

Yes

No

Mare movement history

Has the mare been outside the UK in the last year (12 months)?

Yes

No

Boarding stud details

Is the mare likely to be ‘walked’ in from an outside Stud Farm?

Yes

No

Points to note

Whilst we strive to maintain the highest standards of stud management, Godolphin Management Co Ltd will not accept any responsibility for accident or disease to any person, property or third party animals, however caused.

We will be unable to cover your mare if you do not fully complete this form and return it to us.

Signature required

Signed

Name

Owner / Agent

Owner

Agent

Date