Colebrook Farms - 2011 BREEDING SHED FORM BOOKING OFFICE: Monday through Friday 8:00a to 4:30p Saturday, Sunday, Holidays - 8:00a to 12:00p Stallion Mgr (Gayle Bosscher): (416) 881-8924 / Fax: (905) 852-4537 Nancy Wheatley: 1-866-425-7469 Stallion: Mare's Name: Colour: Boarding Farm: Phone: MARE MUST BE ACCOMPANIED BY THIS FORM EVERY TRIP and HAVE PROPER ID Please check the mare's status below and attach a negative culture report if required. Domestic Maiden Mare - A negative uterine culture is required and must be taken within 30 days of the first cover but not later than 48 hours prior to the first cover. Domestic Barren or Not Bred Mare - A negative uterine culture is required and must be taken within 30 days of the first cover but not later than 48 hours prior to the first cover. Returning Mare (2nd heat cycle) - No culture required. Returning Mare (3rd and all subsequent heat cycles) - A negative uterine culture is required and must be taken within 30 days of the third cover but not later than 48 hours prior to the third cover. I hereby give permission to Colebrook Farms to tranquilize the above mare if necessary for her to be safely bred. Accept Signature: (of Owner or Authorized Agent) Decline Date: NOTE: The breeding shed entrance is at 6270 Concession Road 5