I / We (Owner Name):
(here in after referred to as Stallion Owner) do hereby agree to donate a breeding service to: (stallions name).

Registered with: APHA PtHA AQHA JC (Check all that apply)

Registration #: Year Foaled:

DNA typed: Yes No

IMPORTANT!!!

Please email copies of Breed Registration Certificate(s), APHA Listing for AQHA & JC Stallions, Ranch Contract & 8x10 Photo.

Breeding to be auctioned off to the highest bidder at the 2011 Northwest Stallion Service Auction. This breeding service is for the 2012 breeding season.

2011 Normal Breeding Fee: $

STANDING AT INFORMATION

Standing Location:

City: State:

Contact Person: (name)

PhoneNumber:

E-mail Address:

STALLION INFORMATION

Height: Weight:

Color: Paint Marking: Overo Tobiano Tovero Solid

HYPP Status: N/N N/H H/H Unknown Not applicable (not Impressive bred)

OWLs Status: Positive Negative

Has this Stallion been vaccinated for EVA: Yes No

BREEDING INFORMATION

Dear stallion owner, every year we request suggestion after our futurity, one common item from mare owners is they would first consider a stallion with LOW or NO CHUTE FEE's. This is a concern we receive from bidders every year, due to this, we would like to recommend for your breeding to sell HIGH to consider keeping the stallion collection and chute fee as minimal as you are able.  Thank you for this consideration, we deeply appreciate your participation in NWSSA!

Breeding ON-SITE Information:

Live Cover: On-site AI:

Mare Care/day: $ wet / $ dry

Other additional fees not listed here:

Chute Fee: $ One time/Season Each cycle

SHIPPED SEMEN Services:

Cooled Semen Yes No Frozen Semen Yes No

Collection Fee: $ Each Shipment

Other additional fees not listed here:

Chute Fee: $ One time/Season Each Shipment

Performance & General Information

Performance & General Information: This is the information that will be published in the auction catalog. Please do a write up that will best represent and promote your stallion. Remember to include show record and offspring show record, futurities nominated to, Breeders Trust Eligible and anything else that will promote your stallion. Also include any incentives offered to the buyer of this breeding service. Space is limited, if necessary the NWSSA Committee will edit as needed to space available.

Pedigree information:

Sire:	Sire:
	Dam:
Dam:	Sire:
	Dam:

Please indicate APHA, AQHA, TB or Solid& the color pattern on the above pedigree.

Stallion Owner understands & agrees that this donated breeding service includes a live foal guarantee and should the mare fail to produce a live foal in 2014, a return breeding service will be honored the following season in 2014 only.  

ACCEPTING NWSSA TERMS OF APPLICATION

I / We certify that said stallion is at least 2 years old and is free of the following defects: Parrot Mouth (under or over shot) Cryptorchid or Monorchid, is a minimum of 14 hands tall at the withers & does not rack or pace. If stallion has parrot mouth, cryptorchid or monorchid, is positive for HYPP (N/H or H/H), is under 14 hands tall, or does not travel with a true trot, this information must be listed in the published catalog or service will not be sold.   If, said Stallion is accepted into the NWSSA Auction and then later withdrawn for any reason, or fails to appear or have a Get representation at the actual auction,  then the  Stallion Owner shall be assessed a $450 penalty fee.  If the penalty is not paid, the Stallion Owner will be excluded from current and future participation in the Auction & Futurity program.  If NWSSA is not able to make contact with the stallion owner by August 15, 2012, said stallion will be replaced with a stallion on the waiting list. Exception: If stallion should die or becomes unfit for breeding, and a Veterinarian certificate is provided to the NWSSA, no fine will be assessed and a Waiver granted from the NWSSA Committee.  I / We guarantee that if breeding via shipped semen is offered on said stallion his semen meets or exceeds acceptable industry standards for semen quality.  I/We, as the stallion owner, certify that all of the information provided on this contract is true & accurate.   If Contract is accepted, in consideration of allowing my participation in this activity, under the terms set forth herein both this Contract, the NWSSA rules as published and received, I hereby hold harmless and release the NWSSA, its Members, affiliated individuals and organizations, from any and all legal liability. It is also understood that I/We, as the stallion owner, or any entity representing this above named stallion, shall bring no claims, demands, actions and causes of action, and/or litigation, for any economic and non-economic losses due to any bodily injury, death, property damage or perceived loss sustained in relation to the agreement &/or the premises and operations while participating in any & all activities associated with this Stallion's participation in the NWSSA. This Agreement shall be governed by the laws of the state of Washington. If this signed Application/Contract is accepted by the NWSSA, it will then become binding on all parties and participation is subject to this Contract & the 2012 North West Stallion Service Auction Rules, as published and attached.

I hereby certify the above information is true to the best of my knowledge: Yes No

I certify that I have read and accept the NWSSA 2012 Rules and Regulations: Yes No

I will provide SSN# or Tax ID# before any money can be awareded: Yes

Stallion Owners Address:

City: State:

Zip:

PhoneNumber: Fax Number:

E-mail Address:

Website:

Signature: By typing in your signature you are agreeing to the 2012 NWSSA Rules & Regulation.

You have enter into a legally binding contract to provide a breeding to be auctioned off on September 22, 2012. You are responsible for reading the 2012 NWSSA Rules & Regulations, the Stallion Owner assumes all responsibility for information listed in the NWSSA Online & Print Directory.

Stallion Owner Signature:	Date Signed:
(If submitting online, please type in full name)

Print Application before Submitting

APPLICATION / CONTRACT MUST BE RECEIVED
Fell free to submit application, to be placed on the waiting list.