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7000 WADSWORTH ROAD
MEDINA,OHIO 44256

740-710-3057

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Online Breeding Contractpowerplayfarms2024-12-20T19:25:13+00:00

POWERPLAY FARMS BREEDING CONTRACT

*Note: Your mare is not booked until approved

Breeding Contract Online Form

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Stallion

Stud Fee: $

$

Mare Information

Mare Name

Sire

Record

Year Foaled

Dam

Earnings

Mare Tattoo/Micro#

Sire of Dam

Owner Information (Person responsible for bills and service fee)

Ownership % (If less than 100% ownership, Please add additional owners in the notes section.)

100

First Name

Last Name

Address Line 1

Address Line 2

City

State

Zip Code

Country

Email

Additional Owner Notes

Day Phone

Evening Phone

Cell Phone

Fax

Mare's Breeding History

Mare is (Please select one)

Maiden

Barren

In-Foal

Last Bred Date

Sire (Stallion Bred Previously)

Year Bred

Year Bred

Bred to

Bred to

Bred Result

Bred Result

Semen Transport - Please indicate how mare will be bred.

(additional charges may apply)

How will mare be bred?

Semen Pickup

Shipped Semen

Transient

FedEx or UPS Account # (Required)

Transient Farm

WHAT DATE will mare SHIP IN?

Phone/Mobile

Will Mare board at Powerplay Farms?

Yes

No

How long will MARE stay?

Indefinitely

End of season

Until Pregnant

Shipping Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Additional Notes

Please type your signed name

Date Signed

Signature (Please use your mouse, Touch Screen or Touch Pen to sign below)

Sign Here (Please use your mouse, Touch Screen or Touch Pen to sign below)

I have read, understand and agree to the Breeding Contract Terms and Conditions

Powerplay Farms LLC
7000 WADSWORTH ROAD
MEDINA,OHIO 44256

740-710-3057

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