APHBANZ REGISTRATION FORM - 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
MShip No
Address
Phone
Email
example@example.com
Date of Purchase (if not breeder)

DayMonthYear
Date
Breeders Name (Owner of Dam at Time Of Foaling)
MShip No
Horse being Registered
Date Born

DayMonthYear
Date
Date Born

DayMonthYear
Date
Place of foaling
Sex
Date of Gelding (if applicable)

DayMonthYear
Date
Conceived by:
Base Colour
Coat Pattern
Colour Modifiers
Colour Modifiers
If not sure on colour modifier write colour description below:
Left Eye Colour - Full/Partial
Right Eye Colour - Full/Partial
Brands (if any) Left

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Brands (if any) Right

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Microchip Number:
Any scars/unnatural markings
Sires Sire
Registry and Number
eg APHA
Sire
Registry and Number
Sires Dam
Registry and Number
Owner of Sire(or Semen) at time of Service
Dams Sire
Registry and Number
Dam
Registry and Number
Dams Dam
Registry and Number
For APHBANZ Registration choose

Regular RegistryPaintBred Registry
Name First Choice (max 25 spaces For APHA max 21 Spaces)*
Second Name choice
6 panel qualifier (APHBANZ must have results on file)
eg. Negative by Parentage
I request the allocation of the following available registration number between 11 and 100 to my horse for an additional fee of $20
FEE SCHEDULE

2yrs and under $20

3-5yrs $30

Over 5yrs $50
File Upload

Cancelof
Signature

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Date

DayMonthYear
Date
Email: aphbanz.registrar@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