TERMS AND CONDITIONS STALLION DETAILS Denver LG Footloose LG Vancouver LG Guardian S Semen Type Required *ChilledFreshFrozen Date of Insemination (est) Semen Collection Type Overnight shippingCollect In person OWNER DETAILS Name * Address * Email * Phone * Mare Details Name Date of Birth Passport No. Status of Mare *Foal at FootMaidenEmptyOther Breeding History (If known) Mare Vet Practice Name * Type NA if mare is standing at LG stud Mare Vet Practice Address * Type NA if mare is standing at LG stud Mare Vet Practice Phone Number * Type NA if mare is standing at LG stud Mare Vet Practice Email * Type NA if mare is standing at LG stud HEALTH HISTORY AND TEST RESULTS For Semen Only Request Please Leave Health History and Test Results ARRIVAL DATE REASON FOR STAY AIFoaling Down EVA TEST DATE EVA RESULT STRANGLES TEST DATE STRANGLES RESULT CONTACT WITH ANY VIRAL, FUNGAL, OR BACTERIAL IN THE LAST 3 MONTHS? YesNo INFLUENZA AND TETANUS VACCINATION DUE DATE OF LAST WORMING / FECAL SAMPLE WORMER USED CURRENT SHOEING POSITION MARE BREEDING STATUS SELECT ALL APPLICABLE CaslickedTwinningRetained PlacentaUterine InfectionInfertility Treatment ADDITIONAL INFORMATION Textarea READ AND AGREE TO TERMS AND CONDITIONS? YESNO Verification Please enter any two digits *Example: 12 This box is for spam protection - please leave it blank:
