Weser-Ems Ponies and Horse Breeder’s Society Department North America of
Pferdestammbuch
Weser-Ems
e.V.
Foal / Yearling Registration Form
Reg.no.:
filly
Please only complete this section!
Registration of birth
Inspection site:
site
Date of birth:
MM.DD.YYYY
Name of the foal:
and Date:
MM.DD.YYYY
in:
USA
colt
Canada
Last breeding date: MM.DD.YYYY
name of the foal
Color:
color
Dam Reg.no.:
Sire:
reg.no.of dam
name of sire
Dam:
name of dam
name of dam's sire
Dam’s sire:
Sire Reg.no.: reg.no.of
sire
Breeder: owner of the dam at date of breeding
Owner:
owner of the foal at date of inspection
Farm:
name if applicable
Mailing adress: mailing
City: city, State:
address
st, Zipcode: zipcode
Business phone. business
Mobile phone: mobile
phone
phone
Fax:
Home phone:
fax
E-Mail: e-mail
Official use only!


home phone
Membership number:
brandet:
Microchip:
DNA:



Premium Award:

Birth Certificate:
Fees
Color/markings:
Comments:
USD or CAD
inspection
$
registration fee
$
annual fee
$
membership 2016
$
membership 2017
$
single breeding permit $
$
Registration confirmed
Dokument4
Dokument4
Dokument4
(seal)
Signature
• Weser-Ems Ponies and Horse Breeders Society
• Contact: Heike Arends
Bastian Scharmann



membership paid
check number:
cash
$
Total sum: $
Date:
• Grafenhorststrasse 5
• e-mail: arends.heike@oldenburger-pferde.com
• e-mail: scharmann.bastian@oldenburger-pferde.com
- - - Form has to be e-mailed - - -
• 49377 Vechta (Germany)
• Phone: 011 49 160 906 159 96