Canadian Arabian Horse Registry
#113, 37 Athabascan Avenue, Sherwood Park,  Alberta T8A 4H3
TELEPHONE (780) 416-4990  FAX (780) 416-4860
place17high.gif (70 bytes)

PLEASE NOTE:  This form does not entitle the bearer to ownership of a foal. A Breeder Designation only entitles the
bearer to be shown as the BREEDER of a foal. The Recorded Owner of the Dam at the time of Foaling still must sign the
registration application under the corresponding section and if a transfer is to occur the Recorded Owner of the Dam at the
time of Foaling must also sign in the Transfer of Ownership section. A transfer fee will apply.

ASSIGNMENT OF BREEDER DESIGNATION

I hereby assign the designation of breeder, as outlined in the Rules and Regulations and Registration Procedures Manual of the Canadian Arabian Horse Registry, to the person or persons listed below for the foal described. I understand that the person or persons to whom I am assigning the designation of breeder will be treated in all respects as the breeder of this foal and will be
shown as such on the foal's Certificate of Registration. This person or those persons will also sign their name in place of the
dam at the time of service on the foal's registration application. This form is valid upon receipt by the Canadian Arabian Horse Registry. This form will only be used if accompanied by the foal's registration application and the appropriate fee.

DAM NAME:
formboxapptrans05.gif (607 bytes)


FOAL'S DATE OF BIRTH: formboxapptrans03.gif (507 bytes)

BREEDER DESIGNATION TO BE ASSIGNED TO (list exactly how the name should appear on the foal's Certificate of Registration.)
formbox700sig2.gif (717 bytes)

RECORDED OWNER(S) OF DAM AT TIME OF SERVICE:
formboxname3.gif (483 bytes)
formbox700sig2.gif (717 bytes)

WITNESSED BY:formboxname3.gif (483 bytes)formbox700sig2.gif (717 bytes)

HOME