IGEA Online Registration Form

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IGEA Online Registration Application

***All fields with the red * symbol must be filled for this form to be submitted. Any fields that do not apply to the Equine you are applying for, please, just type "na" (for non-applicable) in those fields. Thank you

* Indicates required field

Choose Type of Registration or Category: *

Other Registration or Category list below: *

Equine Name Choices: Total 34 spaces, including spaces & Farm/Herd Prefix, no apostrophes or other characters

1st Name Choice *

2nd Name Choice *

Sex: *

Stallion Mare Gelding Spayed Mare

If Equine is registered with another registry, please list Registered Name: *

Date Foaled *

Country of Birth *

State/Province *

Microchip # *

Equine was Imported? *

Yes No

Imported In Utero? *

Yes No

If Imported please provide copy of import papers.

Embryo Transfer? *

Yes No

If Imported, Date Imported: *

If Embryo Transfer, copies of all proper documentation must be provided with application

Is this Equine listed with any other Registries? *

Yes No

If, yes Equine is listed with any other Registries, provide Registry Name(s) and Registration # (s):

Registry Name *

Registration # *

If available, DNA Ascension # *

Registry Name *

Registration # *

If available, DNA Ascension # *

Equine Description

Eye Color

Left Eye: *

Right Eye: *

Coat Color

Other, please list: *

Any additional Color, or Color Pattern Info: *

Has Equine been Color Tested? *

Yes No

Optional: If Equine has been Color Tested, please provide copy of Official Color Test Results.

Is Equine Gaited? *

Yes No

If Equine is Gaited, please explain, Trotter/Stepper? or? *

If this equine is at least 3 years of age, what is height? *

Date of Measurement *

Sire's Information

Sire's Name: *

If IGEA Registered, please list # *

Breed: *

Registry: *

Registration Number: *

DNA Ascension Number if available: *

Dam's Information

Dam's Name: *

IF IGEA Registered, please list # *

Breed: *

Registry: *

Registration Number *

DNA Ascension Number if available: *

**Pertaining to any Gypsy Part Bred Blend Stock registration: MOR (Matter Of Record) ANY Non Gypsy Registered Breed Stock used for Breeding Gypsy Blends/Part-breds, that is registered with it's own Breed appropriate registry. Examples: Registered Welsh, Registered Shetland, Registered Haflinger, Registered Quarter Horse, Registered Paint etc., These Non - Gypsy Genetics will be recorded for their genetic contribution on IGEA Registration Certificate Pedigrees at no charge, when a copy of Registration Certificate is provided with Registration Application of eligible offspring.

Breeder's Information

Breeder's Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Owner's Information

Owner Name *

First

Last

IGEA Membership # *

Co-Owner Name *

First

Last

IGEA Membership # *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Please add your initials (as owner) and date in the boxes provided below, to serve as your electronic signature, that the information in this application is all true and correct to the best of your knowledge.

Owner's Initials: *

Date *

This Application must include 4 Color Photos specified as follows: 1 full photo of each side of equine (left and right
side), 1 full front photo (please move forelock to side, so photo shows equine's face),1 full photo of rear. Digital Photos are preferred and can be loaded and sent by using the 4 Upload File Links provided below.

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Please use the Upload File Links provided below to send any scanned copies of documentation such as registration certificate(s), import documents, color test results, DNA testing, Height Certification, or any needed documentation needed.

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

This completed Registration Application Form will be sent to the IGEA Office via email when you "click" the SUBMIT Button at the bottom of this form. Any Document copies, Registration Certificate copies, Required Digital Photographs and information necessary to expedite completion of IGEA Registration can be sent by using the provided Upload File Links or emailed to IGEA at: igearegistry@gmail.com . Please make sure that if an email is sent with scans that you list general information for document identification such as: your name (as listed as owner on this application) and the equine's name pertaining to this online application. All fees are accepted via PayPal to: igearegistry@gmail.com

Submit

Online Payments can be made via Paypal to: igearegistry@gmail.com

**Online Fee payments: If you would like IGEA Office Admin to invoice you with total fees via Paypal Invoice, please just send an email request after completing all required online forms to: igearegistry@gmail.com