American Trakehner Association PUREBRED TRAKEHNER BRANDING APPLICATION
I, Name of Applicant Telephone Number eMail Address Street City State Country Zip
request that the HORSE described below be branded with the ATA purebred brand signifying that the horse is registerable or registered as a purebred Trakehner from approved breeding stock in accordance with the Corporate Regulations of the Association:
Sex: Stallion Mare Colt Gelding Registration Pending Name Applied For: Color and markings: Foal Date: Breeding Certificate Submitted: Yes No Attached Sire Name: Registration No. Dam Name: Registration No.
If already registered insert registered name and number below: ATA Reg. Name: Registration No.
I enclose the applicable fees and understand that I am additionally responsible for all equitable expenses incurred by the ATA in connection with the branding of my horse. I further confirm that I will not hold the ATA or its authorized representatives responsible for any damage or injury incurred or inflicted by or upon any person and/or animal or other property in conjunction with or resulting from the branding procedure.
Date Signature of Recorded Owner
BRANDING REPORT BRANDING REP. USE ONLY
Date Branded: at (location):
I, _________________________________________________________________________________________________ (print name and address of branding representative)
Have performed the following:
seen the horse’s ATA registration certificate and confirmed that it is the horse described on the certificate: believe the markings for this horse should be changed as follows seen the dam’s official Stud Book registration certificate; convinced myself above foal is indeed out of indicated mare; confirmed color and markings of foal; personally and properly applied ATA brand to left hip of above horse; supervised proper application of ATA brand to left hip of above horse.
Remarks:______________________________________________________________________________________________ _____________________________________________________________________________________________________
__________________________________________________ __________________________________________________ Owner or Owner’s Agent Signature of Branding Representative
WITNESS TO BRANDING __________________________________________________
License fee (one-time)
Per Horse Branded
I am presently a member of the ATA I am not presently a member of the ATA but I wish to join at this time
Membership choices: Active Member ($85.00) Lifetime Member ($850.00) Junior Member ($35.00) Fill out the ATA Membership Application and add appropriate fees to branding fees. Pay through Paypal or send check/credit card information along with this printed form to the ATA Please print this form prior to submitting your online application and paying your fees. Thank you. *Please select one of the following payment forms: I will Pay Using Paypal I will call a credit card # to the ATA I am mailing a check For ATA Office Use Only Below this Line ATA Approval for Branding ____________________________________________ Authorized ATA Signature
Membership choices: Active Member ($85.00) Lifetime Member ($850.00) Junior Member ($35.00) Fill out the ATA Membership Application and add appropriate fees to branding fees. Pay through Paypal or send check/credit card information along with this printed form to the ATA
Please print this form prior to submitting your online application and paying your fees. Thank you.
*Please select one of the following payment forms: I will Pay Using Paypal I will call a credit card # to the ATA I am mailing a check
ATA Approval for Branding ____________________________________________ Authorized ATA Signature