Registration Application (Not Previously Registered)

AMERICAN PAINT HORSE BREED ASSOCIATION NEW ZEALAND INCORPORATED
REGISTRATION APPLICATION - NOT PREVIOUSLY REGISTERED
This form is for Paint Horses residing in New Zealand that are being registered for the first time To complete registry with APHBANZ the following is required.
Current Owners name
Membership No
Address
Phone

Area CodePhone Number
Email
example@example.com
Horse being Registered:
Date of Birth:

DayMonthYear
Date
Location of Birth:
Breeders name: (Owner of Dam at Time of Foaling)
Sex:
Date of Gelding (if applicable)

DayMonthYear
Date
Conceived By:
Base Colour
Colour Modifier
Coat Pattern
Eye Colour
Left: Eye Colour/Full or Partial
Right: Eye Colour/ Full or Partial
Regular RegistryPaintbred Registry
Sire
Registration & Registry: eg APHA
Dam
Registration & Registry: eg APHA
For APHBANZ Registration choose Name (max 25 spaces)
Name (max 25 spaces)*
Second Name choice (max 25 spaces)
DNA test results & Parentage Verification test results6 panel genetic disease results (incl MYHM)4 photos, one of each side (legs offset), one head on, one directly behind. Photos must show brandsBreeders Certificate (if applicable)Registration fee (see fee schedule)I request the allocation of the following available registration number (between 11 and 100) to my horse for an additional fee of $20.00Colour/pattern test results if tests have been done (not essential for registration but required if wanting to move from Paintbred to Regular registry or if either parent is overo)
6 Panel - Parentage Qualification (APHBANZ must have results on file)
Brands (if applicable) Please put near side on left and off side on right
Microchip Number: (if applicable)
Description of any scars/unnatural markings. Please provide additional photographs of these.
Chosen Allocation Number (if applicable)
File Upload

Cancelof
Signature
Date

DayMonthYear
Date
Email: aphbanz@gmail.com We accept scanned copies of all documents

Bank Account: 38-9025-0246948-01
Should be Empty:

AMERICAN PAINT HORSE BREED ASSOCIATION NEW ZEALAND INCORPORATED

REGISTRATION APPLICATION - NOT PREVIOUSLY REGISTERED

Horse being Registered:

Eye Colour