LERE VISAGIE


5384 Rt 9H/23, Hudson, NY, 12534
Tel Lere: (518) 821-7086
Tel Farm: (518) 851-6616
FAX: (518) 851-6617

E-mail: lere@rockridgestud.com

E-mail: erin@rockridgestud.com


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To request a season to a Rockridge stallion please complete the form below,
or call Lere: (518)821-7086 or Erin Robinson (859)421-7531
Thank you

STALLION INFORMATION
Stallion
Share # and/or Agent
Please note: If you purchased a season to this stallion thorough a Shareholder or an agent, please list the number of the Share's season purchased and/or the agent's name

OWNER INFORMATION
Name of Mare Owner
(Please indicate the Name of Owner in the way you wish it reported to the Jockey Club)
Address
City
State
Zip or Postal Code
Country
Telephone Number
Fax Number
Email

>MARE INFORMATION
Mare Name
Year of Birth
Color
Sire
Dam
Dam's Sire

Mare's Current Status In Foal Barren Maiden Slipped/Aborted Not Bred

Mare's 2014 Produce
(if applicable)
Foaling Date
Sex Colt Filly
Color
Stallion Bred to in 2013
Last Date Covered in 2013

Is This Mare an IMP0RT for the 2014 Breeding Season? Yes No
 
Import Date
Country of Origin

2014 Boarding Farm
Farm Phone
Farm Manager/Contact

Mare's Recent Produce History
Year Foaled Sire of Foal Date Foaled Foal Color Foal Sex
2013 Colt Filly
2012 Colt Filly
2011 Colt Filly

COMMENTS
Please list any information relating to status, condition, or disposition of your mare that you feel is important for the breeding shed to have on file


5384 Rt 9H/23, Hudson, NY, 12534 | Tel Lere: (518) 821-7086 | Tel Farm: (518) 851-6616 | FAX: (518) 851-6617