ICHO/NACHR Registration Form Pg2 Type in all data & Print. Horses Name enter horses name
*SECTION 3. Breeding Certificate REQUIRED Signatures and Dates from Dam/mare Owner and Sire/stallion owner
Exceptions: * 1. Send the long form Breeding Certificate, *2. Horse has unknown parentage or * 3. adopted BLM horse. * 4. Your horse is
registered in another registry verifying breeder on the certificate, include copies of the other registration certificate/s, front and back.
I hereby certify as mare owner, that mare listed on the application as DAM, was bred to the stallion listed as SIRE as follows:
Method of BREEDING Hand, Pasture, AI method of breeding
Date of Breeding Day-Month-Year
Required Signature of DAM/MARE owner/ lessee at time of service X________________________________________________________ICHO#
Required Signature of SIRE/STALLION owner/lessee at time of service X_______________________________________________________ICHO#
Breeder Designation Permission: I as Stallion/ or Mare owner give permission to use my Breeder Designation Enter Breeder Designation
ICHO#
*Signature for Designation Use Permission X_________________________________________________________________________________________
*SECTION 4. Identification and Markings REQUIRED Draw in all white markings, scars, brands identifying marks, use INK
*COLORS- REQUIRED Fill in all colors. [If your horse is an unusual color like “Zebra Dun”,” Amber Champagne”, “Smokey Black”, “Silver”,
“Smokey Silver”, etc., include genetic Color Testing results to verify the unusual color.] Common Colors do not need genetic testing.
Color of Coat Base Coat color
Color of Points
Color of Eyes
NACHR Reg Form Pg 2_ 2012
Dilutes Palomino, Perlino,etc
Mane
White Markings
Tail
Legs
White Pattern tobiano, sabino, overo, etc
Legs