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REGISTRATION APPLICATION

For The Pintaloosa

International Spotted Horse Registry    
2120 Scotch Hollow Rd., Noel, MO. 64854    
Phone: 866-201-3098 or 417-475-MARE - Email: ishrppa@aol.com    
SECTION 1: COMPLETE INFORMATION ON EQUINE TO BE REGISTERED    
TYPE OR PRINT LEGIBLY - PICTURES TO BE CLEAR & SHARP - CORRECT FEES    

EQUINES NAME:__________________________________ SEX: S____ M____ G____    
    
Horse:__ Pony:__(under 13.2h) Miniature:__(adult inches) Approx Age:__    
    
DOB: MO___Day___Yr___ (if known) Color: Mane__________ Tail___________    
    
COLOR: Brown__Roan__Dun__Grey__Black__Grullo__Chestnut__Bay__Sorrel__    
       Palomino__Buckskin__Perlino__Cremello__Champagne__Other__ 
    
  MARK BOTH PATTERN/MARKINGS TYPE)
    
PAINT/PINTO PATTERN: Tobiano___Overo___Tovero___Sabino___       
 
APPALOOSA MARKINGS: Blanket__Leopard__Frost__Varnish__Snowflake__    
                    Mottled__Other___________ (check all that applies)    
    (if not sure for above-ISHR will determine from pictures sent) 
       
        BLUE EYES: ___Y ___N - Right Eye___ Left___ Partial___
    
REMARKS: list any unusual markings, scars, brands, and location:    
______________________________________________________________________    
    
Sire:(name/breed if known)____________________________________________    
(if known, color,pattern,reg.#)_______________________________________    
Ancestors (if known or copy of reg. cert.):    
______________________________________________________________________    
 
    
Dam: (name/breed if known)____________________________________________    
(if known, color,pattern,reg.#)_______________________________________    
Ancestors (if known or copy of reg. cert.):    
______________________________________________________________________    
 
    
Owner Of Equine______________________________________Phone____________    
Address______________________________________________Email____________    
Amt. Enclosed For Reg.:$__________ - Plus Photos (4 - Four) U.S. FUNDS    
($20.00 as a OR becoming a member) - ($35.00 if no membership wanted)    
======================================================================    
              OFFICE USE ONLY-DO NOT WRITE IN THIS SPACE     
     
ACCEPTED: __Y __N    DATE RECEIVED:__________   ASSIGNED REG.#________    
ASSIGNED ISHR PERSONAL #:______ DISCOUNT APPLIED:__Y __N AMT PD:______    
PINTALOOSA CLASS TYPE ___A ___B ___C    
NOTES:________________________________________________________________    
 

 

 
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