Buyback Story Submissions

1
Name* This field is required.
First Name
Last Name
2
Would you like to have this information posted on the pony's profile as "Anonymous"?* This field is required.If "no" then we will use the preferred name listed in your original application
YESNO
3
Email* This field is required.
example@example.com
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Buyback Pony's Name* This field is required.
5
Why did you decide to purchase a buyback?
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Ok
Ok
6
What is the significance of the foal that you chose?
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Ok
7
Why did you choose your buyback's name?
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Ok
Ok
8
Are there any other stories or information you would like to add about your buyback?
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If you would like to submit some photos of your buyback or pertaining to your buyback (who they were named after, etc) feel free to upload them in the following area. Please note that these photos will be shared publicly and you must be the original photographer of any submitted photos. ICPAR reserves the right to not publish some or all of the photos at their discretion * This field is required.By uploading and submitting these photos I certify that I am the original photographer and I authorize the International Chincoteague Pony Association & Registry's (ICPAR) to use these photos, royalty free, on their social media platforms, website, in advertising and in print.This is a perpetual license with no expiration. If it is found that these submitted photo(s) are not owned by me (the submitter), then I will be responsible for any and all legal ramifications, fees, and I will hold the International Chincoteague Pony Association & Registry harmless. I understand that ICPAR reserves the right to not publish some or all of the submitted photos at their discretion.
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10
Upload Photos herePlease make sure they are completely uploaded before submitting your form
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Max. file size: 10.6MB
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Photo #2
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Photo #3
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Photo #4
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The International Chincoteague Pony Association & Registry LLC (ICPAR) exists to preserve, protect, and promote the Chincoteague pony breed. ICPAR recommends and expects that all persons will conduct themselves in an honest, forthright, ethical, and sportsmanlike manner in their relationships with each other at any time they are involved in Chincoteague pony-related matters. Submission Agreement: By submitting this application and accepting the benefits of transacting business with the ICPAR, I hereby subject myself to all the provisions of the Buyback rules, By-Laws, Rules and Regulations, Code of Conduct & Grievancy Policy, and the Privacy Policy of the International Chincoteague Pony Association & Registry LLC, as they now exist or may be amended. Knowledge of which I currently have or will immediately acquire from the Registry by emailing chincoteagueponyassociation@gmail.com or online at chincoteagueponyassociation.com. Additionally, I agree to allow the submitted information and photos to be used by ICPAR for their website, social media, blog and any other online or in print applications that ICPAR sees fit to use it for. All information is correct to the best of my knowledge and belief as certified by my submission of this form and signature below. Any fraudulent statements herein automatically cancel registration and I will be responsible for all legal ramifications and hold ICPAR harmless. I understand that just because I submit this information does not mean that ICPAR will post it publicly on my buybacks website page.
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