1 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 2 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 3 4 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 5 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