BREEDING LIVERY BOOKING FORM
PASSPORTS MUST ACCOMPANY MARES TO STUD.
Owner Details
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Horse Details
Horse Passport Name
*
Horse Stable Name
*
UELN or Studbook Number
*
Microchip Number
*
Age
*
Colour
Height
*
Breed
*
Is the horse insured?
Yes
No
Who is the Insurer?
Ensure that you have notified the insurance company of the address at which the horse will be residing.
Livery Details
Preferred livery type
*
Please Select
Grass Livery
Stabled Livery
Barn Livery
Foaling Livery
Tick appropriate current living arrangements and environmental behaviour
*
Stabled
At Grass
Lives alone
Group Geldings
Group Mares
Mixed Group
Dominant
Bullied
Friendly
Easy Going
Easily Stressed
Just Weaned
History of Laminitis
Yes
No
Date/s
Catch in the field
*
Good
Bad
Notable Vices
The stud must be notified of any vices present in your horse before they arrive.
Last Worming Date
-
Month
-
Day
Year
Do not de-worm your horses as they come to stud they must be done at least 3 days before arriving.
Last wormer Brand/Drug
Last Farrier Date
-
Month
-
Day
Year
Date
Farrier Requirements
Your horses feet will be tended to as deemed necessary by stud staff and the availability of a qualified farrier. NO HIND SHOES ALLOWED
Flu/Tet Vaccination Due Date
-
Month
-
Day
Year
Date
Any other information you feel we may need to know
Breeding Status
Is your mare
*
Barren
Maiden
In foal
Foal at foot
Date of service or confirmed ovulation
-
Month
-
Day
Year
Date
Date of foaling/due date
-
Month
-
Day
Year
Date
Genetic parents of foal due/at foot
Sire
Genetic Dam (if different to the carrying mare)
Equine Herpes Virus (EHV) Vaccination
Fully Vaccinated
Not Vaccinated
Started course needs continuing
Had 5 Month Vaccine
Had 7 Month Vaccine
Had 9 Month Vaccine
To start Vaccination Course
Vaccination due date for Equine Herpes Virus (EHV)
-
Month
-
Day
Year
CEM swabbed
*
Yes
No
Breeding History
Last period of Season
*
If not known type not known.
How long is she normally in season?
Has your mare previously had: Tick all that apply
Uterine Infection
Fluid
Intolerance to extender &/or semen
History of twinning
Cycling issues
Caslick operation
Retained placenta
Hormone Issues
Treatment for infertility
Regumate
Breeding History
*
For maiden mares type none.
2025 Stallion Details
Service
*
Natural Service
Artificial Insemination
Embryo Transfer Donor
Embryo Transfer Recipient
No Service (foaling livery only)
Stallion
*
Please Select
Killour Star
Kippure Lancelot
Killaspic Ross
Other off-site stallion
Other - foaling livery, not going back in foal
If you are using an off - site stallion
You must inform us of the stallions terms and the stud fee must be paid directly to the stallion owner/agent. We cannot be held responsible for not being able to order semen when your mare is ready because you have not paid for it. We will not pay any stud fees!
Off-site Stallion Name
Name and contact details for stallion owner/agent
Phone Number
Please enter a valid phone number.
Stallions terms for ordering
T&C'S
Signature
*
Print Owner Name
*
First Name
Last Name
Print Mare Name
*
DONT FORGET TO PAY YOUR BOOKING FEE
BANK DETAILS: BARROWBY CONNEMARAS, Handlesbanken, SORTCODE: 40-51-62, ACC NO: 66395144 REFERENCE: MARE NAME OR INVOICE NUMBER
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