Book your mare. This form is a legal consent form. Please submit one form per mare. Owner's Name * First Name Last Name Company Name (GST registered) If relevant for invoicing purposes Contact Email * Contact Phone * (###) ### #### Mare's Name * Mare's Age * Pedigree Mare Status * Maiden Empty Barren Foal at Foot Pregnant Service Required * Chilled Semen AI $900 ($350 + $550) Frozen Semen AI $1,300 ($550 + $750) Walk In Scan $55 Foaling Down $1,200 Stallion to be used * Are you aware of any fertility issues with this semen? * Yes No Has this mare experienced infertility? * Yes No Provide a brief explanation of the mare's reproductive history (if not a maiden) Does this mare have any special requirements that we need to be aware of for her handling or care? * Upon delivering the mare to Maverick Repro for artificial insemination, the mare owner acknowledges that our staff shall not be liable for any injury, illness, or death of the mare while in our care. The mare owner assumes all risks associated with the breeding process and agrees to hold Maverick Repro staff and affiliates harmless from any claims, demands, or damages. * I agree I have read and agree to the terms of service. I agree Estimated Drop Off Date * MM DD YYYY Thank you for booking your mare. We look forward to working with you and helping you to create your dream foal! Terms of service.
