Stallion Intake Form

Owner Name(Required)

First Last

Phone(Required)

Email(Required)

Stallion’s Name(Required)

Breed(Required)

Date of Birth / Age:(Required)

Color(Required)

Stallion’s Registration Number(Required)

Distinguishing Marks/Scars:

Behavioral/Medical Issues

Breeding History (Select all applicable)(Required)

Hand Bred

Pasture Bred

Has been collected

None, requires training

My stallion is here for (Select all applicable)(Required)

Semen Evaluation with Extender Test for Shipping only

Semen Evaluation with Extender + Freezing Test only

Semen Collection for Fresh/Cooled Shipments for the Season

Semen Collection for Freezing

Phantom Training

Breeding Notes ( History/Problems/Concerns)

LOCATIONS