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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 ($22.00 as a OR becoming a member) - ($40.00 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:________________________________________________________________