Mare Breeding Form Estimated Arrival * January February March April May June July August September October November December Accomodation Required * Group - Wet Group - Dry Private - Wet Private - Dry Owner Name * Other Owner Details? * Horse Name * Horse Age * Horse marking and brand * Mare History: Previous foals, ET etc * Breeding Program: Chilled, Frozen Fresh, ET or carry her own foal etc * Stallion Name * Stallion Owner Details * Stallion Collection Details * AGREEMENT between Hagon’s Equine ABN 26061324728 And (the Mare Owner) as stated above. Both #1 & #2 must be selected to submit form and enter into agreement with Hagon's Equine. * 1. Agistment will be charged as follows: $25.00 per day for we mares / $20.00 per day for dry mares. All fees are to be paid before departure of the Mare from the property of 1301 Manilla Road, Hallsville. Hagon’s Equine shall not be responsible for any injury to the Mare or her progeny or loss incurred by the Mare however caused. The Mare Owner gives permission to Hagon’s Equine to perform Ultrasounds, Artificial Insemination and administer Medication to all horses in their care. 2. BIOSECURITY INFORMATION (Please Tick) This is to certify that the above Mare / Mares left the above name property and the horse/horses appeared to be normal in behaviour and in good health. Thank you!