Please print legibly - American Warmblood Society

advertisement
AMERICAN WARMBLOOD SOCIETY ®
P.O. Box 1561
Higley, AZ 85236
Phone: 480-251-0348
Fax: 520-568-3318
Email: awsdir2013@gmail.com
Web: www.americanwarmblood.org
1
Equine Name _______________
Date _____________
Application for Registration:
Please type or print legibly and complete all known information. A correction fee of $75.00 is charged for all
errors due to being illegible. American Warmblood Society (AWS) clerical errors on certificates will be
corrected/replaced without charge, if AWS is notified and certificates are returned within 60 days.
All membership and registration fees must accompany these application forms. The AWS office will
contact individuals whose application needs special attention. If not contacted, it may be assumed that the
papers are being processed. Please allow 60 days for processing before inquiring.
Effective Jan 1, 2015 All new registrations will be receiving a FREE Micro-Chip Kit!
Owner’s name:_____________________________________________________
Owner’s farm Name:_________________________________________________
Address:__________________________________________________________
City:____________________State/Prov:________________Country__________Zip:________
Home phone: _______________Cell:___________________
Email:_______________________________________________________________________
To the best of my knowledge all the following information contained herein is true and correct.
Owner’s signature _____________________________________________________
Required fees for registration:
Lifetime registration of all horses
(main, elite, recorded or pony).
*Register 5 at one time get the 6th horse free
# Horses_____(X) $150.00 = $_________
DNA Fee *Required
# Horses_____ (X) $100.00 = $_________
Complete attached DNA Request Form
(Sample hair kit will be emailed with instructions)
Annual Membership
$ 65.00
Optional RUSH FEE
$100.00
To receive your documentation 30 DAYS or less
All fees are non-refundable, credits may be approved
$ _________
Sub-Total Fees
$________________
2/12/2016
2
AMERICAN WARMBLOOD SOCIETY ®
P.O. Box 1561
Higley, AZ 85236
Phone: 480-251-0348
Fax: 520-568-3318
Email: awsdir2013@gmail.com
Web: www.americanwarmblood.org
Optional AWS Services
Inspection Fee – See Inspection Entry form for Different fees
Lifetime Membership
$500.00
Lifetime Stallion Breeding Approval
$300.00
Lifetime Mare Breeding Approval
$200.00
Annual Awards Program
$ 75.00
Lifetime 5-Star Recognition Program
$125.00
Lifetime Awards Program
$500.00
Total Fees
$_________
All fees are non-refundable, credits may be approved.
*Fill out associated Forms for the optional services and enclose them with
the registration forms.
2/12/2016
AMERICAN WARMBLOOD SOCIETY ®
P.O. Box 1561
Higley, AZ 85236
Phone: 480-251-0348
Fax: 520-568-3318
Email: awsdir2013@gmail.com
Web: www.americanwarmblood.org
3
Equine Name: ____________________________
Date: ____________________________
Application for registration continued:
A. Enclose a copy of completed breeding/covering certificate, if available
B. Previous DNA case number/UELN number/Micro-Chip number
_____________________________________________________________________
C. If previously registered with another association, enclose a copy of reg. papers.
Registry/association name: ________________________Country:_________________
Registration number: ___________________________________
Sired by an AWS Approved stallion Yes ____ No ____
Mature horses height (in hands) ____________Color: _____________
Sex: Stallion: ____ Gelding: _____ Mare: _____
(Select with Check)
Foal Date: _____________ (mm/dd/yy)
State/Country foaled:_________________
Breeder: _____________________________City/State___________________________________
(Owner of mare at the time of foaling)
Please type or print legibly and complete all known information. A correction fee of $75.00 is charged for all errors due to being
illegible. American Warmblood Society (AWS) clerical errors on certificates will be corrected/replaced without charge, if certificates are
returned or AWS is notified and returned within 60 days. Be sure to include pedigree history, as much as possible, with history of name,
breed and reg # listed also. Please fill in unknown where applicable. The below table of bloodlines must be filled out in its entirety
This information will be used for your certificate
of registration – The way you fill it out is how it be reflected on your certificate!
even if previous registrations are provided by the owner as proof of bloodlines.
SIRE’S DNA CASE # ________________________
__________________________________
___________________________
__________________________________
___________________________
SIRE’S NAME – BREED – REG #
__________________________________
___________________________
__________________________________
DAM’S DNA CASE # ________________________
__________________________________
___________________________
__________________________________
___________________________
DAM’S NAME – BREED – REG #
__________________________________
___________________________
__________________________________
2/12/2016
Horse Name: _________________________
Owner’s Name:__________________________
4
__________________________________
2/12/2016
5
AMERICAN WARMBLOOD SOCIETY ®
P.O. Box 1561
Higley, AZ 85236
Phone: 480-251-0348
Fax: 520-568-3318
Email: awsdir2013@gmail.com
Web: www.americanwarmblood.org
Equine Name: _______________________
Date: ___________________________
Application for registration continued:
BREEDING/COVERING CERTIFICATE
Sire/dam proof of breeding report
Dates of breeding:_________________________________________________________________________
Sire name:_______________________________________________________________________________
Sire owner name:__________________________________________________________________________
Sire owner address:________________________________________________________________________
Sire owner city/st/zip:_______________________________________________________________________
Sire owner phone:_____________________________________Cell:_________________________________
Sire owner email:__________________________________________________________________________
Signature of sire owner/breeding agent/vet:_____________________________________________________
Printed name of sire owner/breeding agent/vet:__________________________________________________
Name of Dam:____________________________________________________________________________
Dam owner name:_________________________________________________________________________
Dam owner address:_______________________________________________________________________
Dam owner city/st/zip:______________________________________________________________________
Dam owner phone:______________________________________Cell:_______________________________
Dam owner email:_________________________________________________________________________
Signature of dam owner/breeding agent/vet:_____________________________________________________
Printed name of dam owner/breeding agent/vet:__________________________________________________
2/12/2016
6
AMERICAN WARMBLOOD SOCIETY ®
P.O. Box 1561
Higley, AZ 85236
Phone: 480-251-0348
Fax: 520-568-3318
Email: awsdir2013@gmail.com
Web: www.americanwarmblood.org
DNA Test and/or Micro Chip Kit Request
In 2014, we now require DNA for all registered/recorded horses because of the crisis in identifying horses here
in the US. DNA not only is for parent verification and performance tracking, but will also help prove ownership
and above all the identity of the horse. We get calls continuously trying to identify horses that are abandoned
and/or owners have never transferred them for years and/or over several ownerships. In 2015, the AWS is
issuing (Free) micro-chip kits with all horse registrations to help in this crisis also! :-) You may pay for a MicroChip kit as well to protect your horse and ownership!
*AWS Current membership is required for all services.*The DNA testing uses mane/tail hairs with roots from
your horse to look for genetic markers.
*The DNA Instructional email will be sent with details and invoice.
*If your horse has been DNA tested previously and can provide the DNA case number you will not need
to pay for another test!
*DNA testing is available now without registering your horse! Just pay for an AWS membership and DNA test
fee.
Thank you for becoming a part of the solution!
Please legibly complete all the information:
Horse’s Name________________________________Foal date___________Color ____________
Sire ________________Breed ______________ Dam_________________Breed_______________
Owners name____________________________________________________
Address_________________________________________________________
City____________________State ___________Zip________________
Phone:________________________Email:____________________________________________
The DNA Test Results are kept on file at UC Davis and at the AWS National Office for your reference. You will
receive the DNA case number on your AWS certificate as well as your micro-chip number!
DNA Fee (Required for registration)
AWS Membership Required
Micro-chip Kit Optional
(FREE in 2015 with new horse registration)
Coupon Code
$100.00
$ 65.00
$ 65.00
# _________
# _________
# _________
__________________
@ $_____________
@ $____________
@ $ ____________
Total $ ____________
*Please enclose check, money order, or cashier’s check, with total fees
Or if paying by credit card, fill out attached Credit Card Transaction Form
2/12/2016
7
AMERICAN WARMBLOOD SOCIETY ®
P.O. Box 1561
Higley, AZ 85236
Phone: 480-251-0348
Fax: 520-568-3318
Email: awsdir2013@gmail.com
Web: www.americanwarmblood.org
CREDIT CARD TRANSACTION
Please print legibly
Date Submitted: _________________
Horse Reg # : _______________ (if known)
Transmission Date: _________________ (Office use only)
Credit Card Type (check which applies) Master Card__ Visa __Discover__
Name (as appears on card): _________________________________________________
Credit Card #: ____________________________________________3 digit code_________
(back of card after signature)
Expiration Date: ___________(mm/yyyy)
Amount charged: $____________
(minimum $25) (There is a 10.00 charge for CC decline)
Billing Address: _____________________________________________________________
City: ____________________________________ State: _____ Zip Code: ____________
Phone #: (
) ____________________
Fax #: (
) ____________________
Email: ________________________________________________________________
All fees are non-refundable, credits may be approved
Charge Description:
.__________________________________________________________________________
.__________________________________________________________________________
__________________________________________________________________________
I, ___________________________________ authorize the American Warmblood Society to charge my credit
card the above fees
Signature:_________________________________________
2/12/2016
8
AMERICAN WARMBLOOD SOCIETY ®
Da
P.O. Box 1561
Higley, AZ 85236
Phone: 480-251-0348
Fax: 520-568-3318
Email: awsdir2013@gmail.com
Web: www.americanwarmblood.org
Performance Requirements:
We Americans LOVE choices! The American Warmblood Society offers many choices to satisfy the
Performance Requirement (PR) for full registration.
You may submit one of these scoresheets/show record (see below) or submit a video inspection, or sign up
on-site inspection in your area (inspection entry form).
Common Questions asked;
May I register my young horse/mature horse if they have not competed or attended an inspection? You may
register your horse now and receive a “Pending” certificate and later upgrade to the “Official” certificate. You
have your horse’s lifetime to upgrade it’s status.
What if my horse is still “Pending” and I have completed the performance requirements to achieve an
official Registration? You may fill out a change form to upgrade your certificate from “Pending” to receive an
“Official” Certificate of Registration. Please send in your original “Pending” Certificate, and change request
form and fees to AWS. You will receive a gold “Official” Certificate of Registration that is of high quality to be
very proud of!
Qualifying Performance Venues
1. Sport Horse / In-Hand (any age) in OPEN recognized USEF OPEN (unrestricted Breed) or AWS Classes only
- Must achieve a minimum overall score of 62% ^
2. Dressage - (USDF Recognized show) minimum Training Level Test 1 - Must achieve a minimum overall
score of 62% ^
3. Materiale - (USDF Recognized show) Must achieve a minimum overall score of 62% ^ overall score
4. Eventing - (USEA Recognized event) Cannot have more than a maximum of 55 penalties at novice level
(or higher) without elimination, retirement, or withdrawal
5. Eventing - USEA Young Horse
6 Combined Driving - (ADS Recognized event) same as Eventing except preliminary level
7. Hunter or Hunter Breeding In-Hand Class– Baby Green 2’6” min or 8 horses or In-Hand MinScore 62% ^
2/12/2016
9
Performance Requirements continued
8. Show Jumping - USEF Placing 1st - 5th Place in any USEF recognized class
9. Recognized Sport Horse Inspection - Must achieve a minimum overall score of 62% or higher%
10. Mare breeding waiver - Minimum of three (3) offspring that have passed the performance requirements
and are registered with AWS.
11. Stallion breeding waiver - Minimum of five (5) offspring that have passed the performance requirements
and are registered with AWS.
12. Submit Video Inspection (Utilizes the exact same criteria as a Physical Site Inspection by a Judge) – Must
achieve a minimum overall score of 62% or higher
Video Inspections will be judged with the criteria/directives as the on-site inspections
The benefits of on-site/video inspections include:
Receive an AWS Official Score Sheet
Receive an AWS Official gold Certificate of Registration
Received Quality Designations – RED, BLUE, SUPREME designations on your certificates and ribbons
awarded accordingly reflective of your horse’s overall score
Receive Gold, Silver, Bronze medals for top three horses at a physical inspection, and top three
horses after every (20) horses received at AWS for the submitted video inspections
Horses will qualify for Year-End-Awards and receive 2” Gold, Silver, and Bronze medals and Horse of
the Year awards
2/12/2016
Download