WEST END FARM STUD Westwood Cottage, Thornholme, Driffield, Yorkshire, YO25 4NN Tel: 01262 490570/07779 637507 CONTRACT FOR VISITING MARES AI TO OUTSIDE STALLIONS PLEASE PRINT CLEARLY Name of Mare…………………………………………………… NAME OF MARE OWNER…………………………………………………………….. ADDRESS………………………………………………………………….. ………………………………………………………………………………. ……………………………………………………POSTCODE…………… Tel: ………………………………………………..Mobile……………………………… Mare Details Sire………………………………………………………………. Dam……………………………………………………………… Age…………………….. Stud Book……………………………. Reg No…………………………………………………………… Please supply a copy of breeding papers or identity document/vaccination certificate Is the mare Maiden/ Barren/ in foal (please delete) Last Date the mare was in foal or due date if in foal ……………………………………….. Has the mare been swabbed if so what date............................................................................ Date of Last know season ........................................................................................................ Date of any regumate or fertility injections given .................................................................. Has the mare history of fluid retention or uterine infection .................................................................. ................................................................................................................................................................. Any history of twin pregnancy ................................................................................................ Has she had or is she stapled or Caslick stitched ................................................................................. Type of livery Grass / Stabled at night / Special arrangement Is the mare vaccinated for Flu ........................... Tetanus ........................................... We recommend that all mares are vaccinated. Is she insured Yes / No Vets Fees Date of last worming .................................................. All mares must be wormed on arrival by us. Yes / No Product used ............................................ Stallion ............................................................................................................................................ Please supply copy of nomination form Contact Details for Semen ............................................................................................................. ........................................................................................................................................................ ......................................................................................................................................................... ........................................................................................................................................................ Order Arrangements ...................................................................................................................... ....................................................................................................................................................... Please supply copy of any ordering arrangements the stallion representative have given. TERMS & CONDITIONS OF AI Please see our normal Terms and Conditions and current fees. Unless required by the stud supplying the semen mares for AI to outside stallions do not need to be swabbed. It is recommended that all mares (except mares on foaling heat with a live foal at foot) should have a negative EVA blood test. Any mares arriving from abroad with or without a foal at foot or which has been imported within 12 months prior to arriving at the stud must have a negative EVA result before they arrive. FEES A.I. using outside stallions :- £25 per cycle, this includes a fee for liaising with the relevant stud & all paperwork for the insemination. Veterinary work is carried out by Equine Reproductive Services Ltd. A veterinary scheme is available with discounts for early payment. Details available on request. I hereby state that I have received and read the full Terms and Conditions of West End Farm Stud, I agree to abide by them and the above information I have given is correct to the best of my knowledge. SIGNATURE …………………………………………….DATE…………………….