Online Breeder and Mare Information Form and Stallion Booking 2021 Breeding Contract BREEDER INFORMATION as per the Agreement: (the "Breeder") Breeder * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Alternate Phone (###) ### #### Email * Stallion Choice * as per the Agreement: "the Stallion" $1,200 : Fox Creek's Censational $1,200 : Fox Creek's Masterpiece $1,200 : Fox Creek's Diamond King $ 800 : Chicco B $ 750 : Northwind Catcall Discounts 10% : Returning Breeder 10% : Premium Awarded Mare MARE INFORMATION Mare's Registered Name * Mare's Barn Name * Age * Breed * Registration # * Planned Month of Breeding * Will this be an embryo transfer breeding? * NO YES ACCEPTANCE OF THE BREEDING CONTRACT TERMS * By typing my name here and entering today's date, I confirm that I have read the 2021 Breeding Agreement in full and agree to the terms and conditions set forth within. Breeder's Signature * Date of Contract * MM DD YYYY Thank you!