Please print legibly - American Warmblood Society

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AMERICAN WARMBLOOD SOCIETY
P.O. Box 1561
Higley, AZ 85236-1561
Equine Name _________________________
AWS Reg# ___________________________
480-251-0348
awsdir2013@gmail.com www.americanwarmblood.org
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 or undelivered certificates will
be corrected/replaced without charge, if certificates are returned or AWS is notified 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, possibly slightly longer during the
inspection season before inquiring.
Owner’s name:_____________________________________________________Breeder: Yes or No
Owner’s farm Name:__________________________________________________________________
Address:_____________________________________________________________________
City:____________________State/Prov:________________Country__________Zip:________
Home/barn phone:_______________Cell:___________________
Email:_______________________________________________________________________
Website:_____________________________________________________________________
Required fees for registration: Take note of fee increases in 2014
1. Lifetime registration of all horses (main, elite, recorded).
*Register 5 at one time get the 6 horse free
Horses, less than 1 yr/over 1 yr
(All horses will be 150.00 in 2014)
CIRCLE FEES WHICH APPLY
100.00/125.00
Annual membership USA resident/non resident
(75.00 all residents in 2014)
\
50.00/60.00
DNA Fee: may be required, see pg 2, A,B,C for exemption
Sample hair kit will be emailed with instructions
(DNA will be required for ALL horses in 2014 at 100.00)
75.00
Optional fees:
Inspection fee:
50.00
(125.00 fee in 2014, 100.00 for inspection and 25.00 toward insp year-end awards)
Lifetime Membership
500.00
Lifetime Breeding Approval (500.00 in 2014, If donating breeding 250.00)
100.00
Awards program annual/lifetime (75.00/500.00 in 2014)
RUSH FEE 30 DAYS or less
All fees are non-refundable, credits may be approved
35.00/350.00
100.00
Total Fees
___________________08 21 13
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AMERICAN WARMBLOOD SOCIETY
P.O. Box 1561
Higley, AZ 85236-1561
480-251-0348
awsdir2013@gmail.co
m
www.americanwarmblood.org
Application for registration continued:
Equine Name______________
AWS Reg #_____________USDF#_____________
A. Enclose a copy of completed breeding/covering certificate, if available
B. DNA case number and ULEN number
__________________________________________________
C. If previously registered with another association, enclose a copy of reg. papers.
Registry/association name: _________________________________________________________
County:_________________________________________________________________________
Registration number:______________________________________________________________
Sired by an AWS Approved stallion Yes;____No ________
Mature horses height (in hands) ___________________________
Color:__________________________Sex: Stallion:_____Gelding:_____Mare:_____
Foal date:_____________(mm/dd/yy)
State/country foaled:_________________
Breeder:_____________________________City/State___________________________________
(Owner of mare at the time of foaling)
SIRE’S DNA CASE # ________________________
__________________________________
___________________________
__________________________________
___________________________
SIRE’S NAME – BREED – REG #
__________________________________
___________________________
__________________________________
DAM’S DNA CASE # ________________________
__________________________________
___________________________
__________________________________
___________________________
DAM’S NAME – BREED – REG #
__________________________________
___________________________
__________________________________
Pedigee history is desirable and will appear on your certificate of registration, however, is not
required for registration. Be sure to include pedigee history, as much as possible, with history of
name, breed and reg # listed also. Please fill in unknown where applicable. Pedigree history and
DNA testing are required for elite book horses and approved for breeding status.
08 21 13
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AMERICAN WARMBLOOD SOCIETY
P.O. Box 1561
Higley, AZ 85236-1561
480-251-0348
awsdir2013@gmail.co
m
www.americanwarmblood.o
rg
Equine Name __________________________
Application for registration continued:
AWS Reg# _____________________________
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:__________________________________________________
Date:_________________________________
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:__________________________________________________
07 25 13
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AMERICAN WARMBLOOD SOCIETY
P.O. Box 1561
Higley, AZ 85236-1561
480-251-0348
awsdir2013@gmail.co
m
www.americanwarmblood.org
Equine Name __________________________
AWS Reg #____________________________
DNA Test Request
The AWS is tracking all performance to produce accurate rating and records. This task will contribute to the
accelerated success of all American Warmblood horses and their breeders recognition. As a full member with
the World Breeding Federation of Sport Horses (WBFSH) this DNA testing is required unless A, B, or C below
have been satisfied.
A. Enclose a copy of Breeding/Covering Certificate
B. DNA Case Number (if previously DNA tested)
C. If previously registered with another association (enclose a copy to be verified).
All elite horses and “approved for breeding stallions and dams are required to be DNA tested. DNA testing
uses only a few horse hairs to verify or start the tracking of bloodlines and to positively identify the horse.
The hair test kit will be mailed to you from UC Davis Lab.
Please legibly complete all the information:
Horses name:_____________________________________________________________________________
Owners name:____________________________________________________________________________
Address:_________________________________________________________________________________
City, St, Zip:______________________________________________________________________________
Phone:__________________________________Cell:____________________________________________
Email:___________________________________________________________________________________
DNA test fee:
$75.00
08 21 13
AMERICAN WARMBLOOD SOCIETY
P.O. Box 1561
Higley, AZ 85236-1561
480-251-0348
awsdir2013@gmail.com
www.americanwarmblood.org
6
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)
Exp 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: ________________________________________________________________
Charge Description:
__________________________________________________________________________
.__________________________________________________________________________
.__________________________________________________________________________
._______________________________________________________________________________________
.I, ___________________________________ authorize the American Warmblood Society to charge
my credit card the above fees
Signature:_________________________________________Date:_____________________
8-21-13
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