ICHR Registration Application Page 2

Breeder's address____________________________________________________________

___________________________________________________________________________

Sire's Name___________________#________ Dam's Name___________________#_______

ATTACHMENTS (please check box when included):

q Copies of any other registration certificates

q Four generation color pedigree, or any pedigree available

q Photographs: may be submitted on floppy disk, CD, or actual photographs. Click here. 

q Foal coat, if available

q Full body from side (required)

q Clear close-ups of head, including eye and muzzle (required)

q Clear close-up under tail (required)

q Clear close-up of sheath/udder if desired

q Optional; please label clearly what they are:

q Sire or dam, showing Champagne characteristics

q Offspring, showing Champagne characteristics

u Extra photos, other than those required, are welcomed and appreciated! 

I hereby certify that all of the above information is true  and that I am the owner of this animal.
 
____________________________________________________    _________________________
                  (your signature)                                                                  (date)

Submission of photographs gives the ICHR permission to use them on its web site and in publications.