How to List a Stallion for Breeding AmericanPaintHorseAssociation Mailing Address: P.O. Box 961023 N Fort Worth, Texas 76161 Physical Address: 2800 Meacham Blvd. N Fort Worth, Texas 76137 (817) 834-APHA (2742) N Fax (817) 834-3152 www.apha.com N [email protected] Stallion Listing Stallion Listing Card N Listing a stallion serves the purpose of declar - ing your intent to breed him. Whether your Name of : ______stallion is a registered American Paint Horse, a Quarter Horse or a , there is Registration Number: ______a $75 stallion listing fee due when the first stallion breeding report is filed. This is a one- Stallion Owner: ______APHA ID# : ______time fee to list a stallion as an eligible sire for his lifetime. Address: ______N If the stallion is a Quarter Horse or Thorough- bred, a copy of the front and back of the AQHA or Jockey Club registration certificate showing City: ______State: ______Zip: ______the recorded owner at the time of breeding and the pedigree/bloodlines is required. Photo- Daytime Phone Number: ______Email: ______graphs, a direct left sideview and a direct right I authorize the American Quarter Horse Association and the Jockey Club to release the genetic markers on file for the above sideview, are also required. If photographs indi - named horse to the American Paint Horse Association. cate that the horse has characteristics of any ineligible breed, the horse is subject to removal Recorded Stallion Owner’s Signature: _X______from or rejection of listing. Authorized Signers Authorization is for: N Should you sell the Quarter Horse or Stallion Breeder’s Breeding Certif- Thoroughbred stallion, the new owner will Printed Name of Authorized Individual Signature of Individual Reports icates Permits need to refile the listing card (at no addition - al charge). X Authorized Signers N Only the signature(s) listed will be authorized to sign documents on the behalf of the individual or X entity listed above. These signatures will be recorded as authorized agents for the listed X stallion only, and will remain valid until terminated by the recorded owner or the stallion Ownership (A signature below will not constitute authority to sign documents unless included as an authorized agent above.) changes ownership. Signature in the ownership section does not mean authorization unless also 1.) Name: ______Signature: _X______listed in this section. Address: ______Ownership N If the stallion is owned by a ranch, partnership, City: ______State: ______Zip: ______or entity, print the name and address of all part - ners. Each partner must sign indicating they 2.) Name: ______Signature: _X______agree the persons listed are authorized to sign on their behalf. Address: ______City: ______State: ______Zip: ______Other Necessary Items 3.) Name: ______Signature: ______N Stallion Breeding Report— You must submit X a Stallion Breeding Report each year you Address: ______breed the stallion.(See rule RG110). You may file your Stallion Breeding Report online at City: ______State: ______Zip: ______aphaonline.com . N DNA Genetic Testing— All breeding stallions must be DNA genetic tested. Disease diag - Fees US Funds Only Member Rate Online Acess: nostic package testing and coat color diag - I I Stallion Listing Fee (one time for life) $75 My APHA—(Free to APHA members): Includes submit online stal - nostic testing are also available. To request a lion breeding report and registrations. DNA genetic or diagnostic test kit for your I DNA Kit Request $60 I APHA Basic—$25 per year: Includes pedigrees, performance stallion, contact the APHA Field Services rep - I Comprehensive Disease Diagnostic test $100 records, progeny records and show results. resentative. If a stallion’s DNA genetic mark - (test for the presence of HERDA, HYPP, GBED and OLWS) I APHA Plus—$14.95 per month: Includes “My Barns,” Color ers are already on file with an APHA- I Comprehensive Coat Color test $110 Calculator, show records and extras. approved laboratory, it may not be required (test for the presence of red factor, agouti, cream, pearl, again if the owner of record provides APHA champagne, dun, silver, gray, tobiano, OLWS, Sabino 1) I Check or money order enclosed. Do not send cash. with a copy of the genetic markers. Check Processing Policy: In the event that your check is returned unpaid for Membership LevelsAdult Junior (18 or younger) insufficient or uncollected funds, we may present your check electronically. Membership I One-year—$40 I One-year—$20 I MasterCard I Visa I American Express I I N If you do not have a current membership with Three-year—$90 Three-year—$40 If paying by credit card, please complete the following: I the Association and wish to take advantage of I Five-year—$150 J-Term—$100 member rates, you may purchase a member - I Lifetime—$500 Birthdate: __ ___ /______/_____ ship at this time. Membership rates will then apply to this transaction and any others post - Additional Product Packages: Card No.: ______I Premium—$45 * (save $20) One-year subscription to the marked during the membership period. Paint Horse Journal ($30 value), four generation, frame Exp. Date: ______CVV#:______Memberships will consist of a 12-month peri - able, pedigree certificate ($20 value), $15 gift certificate od beginning in the same month as the request to the APHA General Store. Name of Cardholder: ______for listing is postmarked. I Deluxe—$15 (save $5) Four generation frameable, N For more information, please call Customer pedigree certificate ($20 value). APHA ID No.: ______Service at (817) 222-6423 or email * U.S. ONLY [email protected] . Total Amount Due Billing Address: ______N Fees are subject to change without notice. Listing Fee: $ ______N An office processing fee of $10 will be charged DNA Genetic Test: $ ______City: ______State: ______Zip: ______on all registration work not processed to Diagnostic Test Kit :$______completion. $25 Rush Fee: $ ______Daytime Phone: ______Membership Dues: $ ______Online Access Service: $ ______Email: ______Product Package: $ ______Rev. 10/11 TOTAL $ ______Signature: _X______