HOBGOBLINS STUD, DUDDLESWELL, E SUSSEX TN22 3BH
TEL 01825 713631 / 07980 008496
email:info@hobgoblins-stud.com
NOMINATION FORM. HOBGOBLINS STUD.
I (owner /owners’agent)………………………………………………………. apply for a nomination to the
stallion………………………………………….for fresh /chilled /frozen semen (delete as appropriate).
Name of mare owner / owner’s agent (delete as appropriate):…………………………………………………………………..
Address:……………………………………………………………………………………………………………………………
……………………..
Telephone numbers…………………………………………………………………………
Email…………………………………………………………………………………………….
For semen which is being shipped chilled or frozen only, name, address and telephone number of receiving Veterinary Practice:
…………………………………………………………………………………………………………………………………….
.
…………………………………………………………………………………………………………………………………
Name of mare:………………………………………………………………………………….
Registration no/passport no. of mare …………………………… ……Stud book in which mare is registered:…………………
Breed of mare:……………………………. Colour of mare:………………………. Date of birth of mare:……………..
Sire of mare:…………………………………………
Dam of mare:……………………………………….
Status of mare (maiden/barren/foaling)………………………………………..
If foaling mare, due date:…………………………………………………………..
Breeding history:
Dates covered
Outcome (live foal/barren/aborted)
Before 2005…………………….
………………………………………………
2005:………………………………
………………………………………………
2006 :………………………………
……………………………………………….
Does the mare have a history of any of the following?:
Uterine infections?
Genital damage from foaling?
Twinning?
Vulva stitched (Caslick’s)?
Retained placenta?
Vaccination record for mares visiting Hobgoblins Stud only:
All mares: Tetanus:…../…./……..
Influenza:…/…../………
EHV1,4: …/…../……….
Date of most recent E.V.A. blood sample with negative result:……/……/……….
NB ALL mares must be vaccinated against tetanus and influenza prior to arriving at Hobgoblins Stud, and their vaccinations must
be in date. Mares must also have a negative serology (blood test) result for EVA from a sample taken within 28 days of arriving at
Hobgoblins Stud, and the certificate must accompany the mares. Vaccination against EHV1,4 and EVA is optional for nonpregnant mares. Vaccination against EHV1,4 (pneumabort) is necessary for pregnant mares arriving at the Stud to foal down
(please speak to the Stud Veterinary Surgeon). CEM swabs are not required as no natural cover takes place at Hobgoblins Stud.
Passports, EVA certificates and vaccination certificates must accompany the mare and will be checked before mares
may enter Hobgoblins Stud.
All stables at Hobgoblins Stud are fitted with rubber matting. If your horse requires a full bed in addition to the rubber matting
please tick this box:
(a additional charge is payable for this service with the exception of mares with foals at foot, for
which a full bed is provided).
EXPECTED ARRIVAL DATE OF THE MARE AT HOBGOBLINS STUD:……../………../………….
PLEASE SEND THIS FORM ALONG WITH A DEPOSIT FOR £200 for mares visiting Hobgoblins Stud and
payment of £125 for shipped semen orders made payable to “Madeleine Campbell” to: Hobgoblins Stud, Duddleswell,
East Sussex TN22 3BH