APPLICATION FOR REGISTRATION OF UNREGISTERED FOAL OR HORSE Please print ALL information in ink: Type of Registrations: ( ) Full Heritage ( ) Heritage Breeding Stock ( ) Heritage Accredited NAME: (Not more than 25 spaces): 1 st choice 2nd choice 3 rd choice CHECK if foal was produced as a result of Artificial Insemination Embryo Transplant SEX: Stallion Mare Gelding Castration date, if gelded: Day Month DATE OF BIRTH: Day Month Year Sex of Twin (if Any) SIRE: US REG. # CRTWH # DAM: US REG. # CRTWH # NAME & ADDRESS OF BREEDER: (Owner or lessee of dam at time of conception of above described animal) NAME & ADDRESS OF OWNER AT BIRTH: (Owner or lessee of dam when she gave birth to above described animal) CERTIFICATE OF SERVICE: (Fill in below) I HEREBY DECLARE that the above named dam was last served by the named sire on Day Month Year OR EXPOSED FROM Day Month Year to Day Month Year SIGNATURE OF OWNER OF SIRE AT TIME OF SERVICE: X SIGNATURE OF OWNER OF DAM AT TIME OF SERVICE: X
( ) Roan ( ) Tobiano On the diagram below, indicate all white markings with dark solid lines. If a marking appears on both sides, be sure it appears on the diagram for each side. Photos of each side, front, and rear, are required for ALL horses. ( ) NONE COLOR: ( ) Black ( ) Bay ( ) Brown ( ) Chestnut - ( ) Red - Sorrel ( ) Dark Chestnut ( ) Liver Chestnut ( ) Smoky Black ( ) Perlino ( ) Cremello ( ) Smoky Cream ( ) White ( ) Palomino - ( ) Isabella ( ) Golden ( ) Sooty ( ) Buckskin - ( ) Buttermilk ( ) Golden ( ) Sooty DILUTIONS MODIFIERS PATTERN Scars, Brands, or Unusual Marks: ( ) Silver ( ) Grey ( ) Sabino OFF (RIGHT) SIDE NEAR (LEFT) SIDE Stocking Pastern Sock Coronet FRONT REAR FRONT REAR HIND LEGS FRONT LEGS Describe the horse s markings: Left Fore Leg Right Fore Leg Left Hind Leg Right Hind Leg
FACE MARKINGS: ( ) NONE Draw in every white area and include all dark spots within white area. Upper Lip Lower Lip Chin Describe Facial Markings: BE SURE TO INCLUDE: REGISTRATION FEE (If in doubt, contact us for current fee schedule) $ DNA PARENTAGE VERIFICATION FEE $ 35.00 Total enclosed (Please make check payable to International Heritage Walking Horse Association. Do not send cash) $ I declare that the information in this application is true to the best of my knowledge and belief SIGNATURE OF OWNER: DATE OF APPLICATION If animal has been sold, attach a completed and signed application for transfer and remit regular transfer fee. MAIL TO: IHWHA, PO BOX 267, WHITEHALL, WI 54773-0267
INSTRUCTIONS NAME: Provide up to three name choices. Names are limited to 25 characters including spaces and apostrophes. Breeding Information: Enter the exact foaling date. List the sire and dam s registered names, exactly as they are on their registration certificates. Enter the US Registration or CRTWH registration numbers for sire and dam. Name and address of breeder owner of the dam. Name and address of owner at the time the mare foaled. Certificate of Service: Enter the breeding date(s) for the mare. This requires the stallion owner s signature and the mare owner at the time of service. Color: Choose one base body color, then choose a dilution, modifier or pattern, IF applicable. Under Chestnut, Palomino, and Buckskin there are several choices, Choose the base color of Palomino, Chestnut, or Buckskin and then choose the sub-category that matches the horse. Photos must be submitted of both sides of the horse, as well as front and rear with the registration application, regardless of color or pattern. List any scars, brands, or unusual markings of the horse. Body Markings: Draw in all white markings of the horse with solid dark lines. Draw all scars and brands, include any markings on sides of head and chin. IF there are no markings, check None. Describe the leg markings. Face Markings: Outline, with dark solid lines, all white markings on the face, lips, and chin. Indicate any dark spots within the white areas. Describe the markings as blaze, star, strip, snip, or bald. If there are no facial markings, check None. Registration Fee: Consult the fee schedule for current registration fee Signature: Owner at the time of the foal s birth will sign this. If this is an adult horse that is being registered, present owner will sign.
REGISTRATION REQUIREMENTS Anyone who willfully registers a false pedigree will be forever banned from making further registrations and the registration of the false pedigee will be canceled. Application must be typed or in ink and must be legible. Please use care in giving dates and markings. All foals must parentage verify through DNA testing before a registration certificate will be issued. The recorded owner of the dam at the time of foaling may transfer the unregistered foal by subimitting a completed Transfer form. The transfer fee and registration fee must accompany the registration application. Horses will be given a temporary registration certificate until they are gait certified. IHWHA assumes no responsibility for the registration certificates once they are mailed to the owner. The person applying for a transfer or registration is soley responsible for accuracy of the mailing address. Certified mail may be requested at the applicant s expense. If a horse does not match one or both parents, the standard procedure is to ask for a resample on the horse. You will be billed for this second sample, as it is treated as a new sample and the lab must use reagents and technical time to process the sample again. Sometimes owners mix up horses because so many are solid black, etc., the burden is on you, the owner, to supply a sample from the correct horse. We are set up with PayPal. PayPal to info@ihwha.com. If using PayPal, please add 4% to the total to cover PayPal s charges. Canadian customers our bank will not accept checks from Canadian banks. The funds must be drawn from US banks or send a POSTAL money order.
FEE SCHEDULE Membership Dues: (Membership will go from January 1 to December 31) Membership Dues (annual dues) $ 25 (Includes 1 free transfer or $15 off the registration fee to be used in the current membership year ) Family Membership Dues (annual dues ) Husband & Wife 1 child (Includes 1 free transfer or $15 off the registration fee to be used in the current membership year ) $ 40 Lifetime Membership Dues $ 350 (Includes 1 free transfer or $15 off the registration fee per year to be used in the current membership year ) Registration Fees: Foal Registration Application & Gait Certification $ 40 (Gait certification can be completed at any time) Convert Current Heritage Certified Horses to IHWHA Registry $ 25 ( Registration & Gait Certification Package $ 40 \ Transfer of Ownership: Within 30 days of purchase date After 30 days of purchase date $ 15 (US funds) $ 25 (US Funds)
Other Services: DNA kit Duplicate Registration Certificate $ 35 (US Funds) $ 25 (US Funds)