Canadian Arabian Horse Registry

#113, 37 Athabascan Avenue, Sherwood Park, AB T8A 4H3
TELEPHONE (780) 416-4990   FAX (780) 416-4860


HORSE AUTHORIZATION

Horse Name: _________________________________________________   Registration #_______________

Recorded Owner(s): ____________________________________________  CAHR ID #_________________

Address: _______________________________________________________________________________

The following person will be authorized to execute and deliver certain documents, specifically designated
below, to the Canadian Arabian Horse Registry for the horse listed above:

Name of Authorized Person (print full name): ____________________________________________________

Signature of Authorized Person (in ink): ________________________________________________________

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REGISTRATION APPLICATIONS (Mares & Stallions)
Check Box □□     From: (MM/DD/YY)__________________________  To: (MM/DD/YY)__________________________ 
                            Yes      No

  - For mares, this person can sign for the owner of the dam at the time of foaling and for the owner of the dam at the time of breeding or insemination.
- For stallions, this person can sign for the owner of the stallion at the time of breeding for all breeding methods except transported or stored semen.
- Signing the registration application does not change the recorded owner or breeder of the foal.

 STORED OR TRANSPORTED SEMEN (Stallions)
Check Box □□     From: (MM/DD/YY)__________________________  To: (MM/DD/YY)__________________________ 
                            Yes      No

  - This person is authorized to request a Transported/Stored Semen Permit for this stallion.
- This person is authorized to request Transported/Stored Semen Service Certificates for this stallion.
- This person may sign Transported/Stored Semen Service Certificates issued between the "From" & "To" dates above.
- If this authorization is revoked, the signature of this person will be accepted on all Transported/Stored Semen Service Certificates that are issued after the "From" date shown above and before the date of revocation. The date of revocation cannot be prior to the date the revocation notice is mailed to the CAHR.
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I (we) further agree this authorization will become effective upon receipt by the CAHR and will remain effective until written notice of change or revocation is received by the CAHR. As the recorded owner(s), I (we) acknowledge and agere with the conditions of this authorization, and understand the signature of the person specified above will be effective on the documents indicated above.

OWNER SIGNATURE: ______________________________    OWNER SIGNATURE:__________________________
DATE SIGNED:____________________________________    DATE SIGNED:_______________________________
 

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