Nomination Form Samaii — Brackenspa Stud

Samaii: nomination form

Please complete the online form below to express your interest in Samaii. We will contact you shortly after receiving the form. Alternatively, download this nomination form and email it to: Sally at hrpsal@aol.com

Please also email a copy of the mare’s pedigree and a copy of the CEM swab to: Sally at hrpsal@aol.com

Many thanks in advance.

Mare details

Please let us know details of your mare.

Name of Mare

Name of mare's Sire

Name of mare's Dam

Date of Birth

YYYY

Breed

Colour

Height

Approximate date of arrival at stud/insemination date

YYYY

Duration of Stay

For time leading up to and including covering

As left but to include sixteen day scan

Semen Service

Registration, passport number and society

Is the mare insured?

Is the mare?

Does she show in season well?

Is she quiet at all times

Medical history (i.e. any allergies)

Most recent flu and TET injection (day/month/year)

Last type and date of wormer (day/month/year)

Veterinary surgeon

Basis of keep

Please let us know how you would like your mare kept.

Grass Keep £12.50/ day

Stabled at night, all keep included £25/ day

Mare with foal at foot at grass £20/ day

Mare with foal at foot stabled £30/ day

Foaling fee £300

Returning to Brackenspa Stud stallion £100

Owner details

Please let us know your information and contact details.

Owner name

Owner address

Owner telephone number

Owner mobile

Stud Conditions

Stud Fee: £550 +VAT Conditions: NFG (no foal no fee)

Brackenspa Stud Terms

All stallions CEM and EVA negative. All mares must have a negative CEM swab prior to being covered by any stallion standing at Brackenspa stud, any mare that has been imported from outside the UK must have a negative EVA blood test and all mares entering Brackenspa stud for AI, Natural Service or Foaling must have a negative strangles blood test prior to arrival. All mares must have their hind shoes removed prior to being covered, previous date and type of wormer must be made aware to the stud manager along with influenza and tetanus injections. Mares remaining at stud for any length of time shall be routinely wormed. Passports must accompany mares to stud and any equipment left with the mare must be labelled. It is recommended that all mares be insured. The stud offers no insurance cover on behalf of owners, all mares boarding at the stud for insemination or natural service do so at the owner’s risk. In the case of accident, injury or illness the stud reserves the right to call a veterinary surgeon and take advice in the event of the owner being unreachable. Any veterinary work carried out while the mare is at stud will be billed direct to the owner. All owners are required to pay their livery, worming, farrier and stud fee before the mare leaves stud. The residentstallions all operate on a no foal free return basis which must be certified by a practising veterinary surgeon on or before 1st October. Whilst at stud every care shall be taken of your mare, and foal, but, Brackenspa stud and its employees shall notbe held liable for any loss, theft, damage, injury or death to any animal and shall indemnify us against all actions,proceedings, costs, claims or demands so caused. Please sign this form and return it along with your nomination form. All prices are subject to VAT.

Signature of Owner

Printed Name

Horse Name

Date

YYYY