Gulf Coast Equine
352-342-5737 Anna
318-578-1866 Ray
545 Muscadine Road
Sunset, Louisiana 70584
2016 Mare Information Sheet
THIS FORM MUST BE ON FILE IN OUR OFFICE PRIOR TO BOOKING THE MARE INTO THE
BREEDING SHED. NO EXCEPTIONS!!
STALLION: _____________________________________________
MARE OWNER INFORMATION
Please type or print the following information (as it should be reported to the Jockey Club):
Name: ________________________________________________________
Address _______________________________________________________
Phone #’s _______________________________Fax # ___________________
E-Mail _____________________________
Mare Information (Correct Spelling Needed)
Mare's Name __________________________Year ______Color_________
Mare's Sire ____________________________________
Mare's Dam ____________________Dam’s Sire ___________________
IMPORT STATUS: Is this mare an IMPORT for the 2016 Breeding Season?
( )NO ( )YES Import Date: _____________ Country of Origin:________________
Mare's Current Status:
( ) Maiden
( ) In Foal
( ) Not Bred
( ) Barren
( ) Foaled;
( ) Slipped
Date ______Color ______ Colt/Filly
Stallion Bred To in 2015 _______________ Last Date Bred ______________
Mare's Produce History:
Foaling Date
Color
Colt/Filly
Stallion Bred to in 2013
/14 ________
_________
Stallion Bred to in 2012
/13 ________
_________
Mare will board in Louisiana at ___________________________________
Farm Manager's Name ______________________Phone _______________
Fax ______________________ Cell _________________________
Do we have permission to tranquilize this mare if necessary?
YES 
NO 
Mare's Veterinarian _____________________Phone_______________
Signature ___________________________Date_________________