Registration Application Registration Application Registration Application for Foal or Previously Unrecorded Horse "*" indicates required fields REQUESTOR INFORMATIONYour Name* First Last Your Email* HORSE TO BE REGISTEREDHorse's Full Name* Should be the entire name, Pinate de Miami or Herdade Cadillac.Date of Birth Month Day Year Sex Stallion Mare Gelding Date Gelded Month Day Year Sire's Full Name* Dam's Full Name* COLOR, MARKINGS, AND DESCRIPTIONCoat Base Color (required, pick one) Bay Black Brown Buckskin Chestnut Palomino Smokey Black Grulla/Grullo (Description) This is the coat color before any modifier is applied. Note that the color a foal is born with will change during the first six months after birth.Color modifiers (optional, pick all that apply) Dun Grey Roan Tobiano (Description) Coat Modifiers are patterns that may appear on top of the coat color. They are independent of any dilution. These are the modifiers frequently seen in the Mangalarga Marchador Breed. Note that the Grey modifier is progressive and may not be apparent in a young horse. Specific color description (Fill this in if the base color and modifiers do not adequately describe your horse's color) For Example – Red Roan, Blue Roan, Sorrel with Dun Markings, Red Dun, Liver Chestnut,etcMarkings Examples Face Markings -> Blaze, Strip, Snip, Star Leg Markings (extent of leg) -> Stocking, Sock, Fetlock, Ankle, Pastern, Coronet. Please indicate right-front, left-front, right-rear, and left-rear (RF, LF, RR, LR) Dun Markings -> Dorsel Stripe, Zebra Stripes Scares and Other Marks Photo(s) of horse showing markingsInclude photos of the front, right, left, and rear of the horse. Drop files here or Select files Accepted file types: jpg, jpeg, pdf, Max. file size: 32 MB, Max. files: 5. Description of HorseAdd a description or details of the horse as needed.EXHIBIT AExhibit A Veterinary / Owner Examination ReportI have examined the below described Mangalarga Marchador foal or weanling and have found no evidence of: Bite abnormalities including, but not limited to prognathism (undershot bite) or brachygnathism (overshot bite) Entropion (eyelashes touching eye globe) Blue eyes / double cream (color test required) Umbilical Hernia If Male, both testes are present in the scrotum Select AllORIGINAL OWNER (Registered owner of DAM or lessee of DAM at the time of foaling)Name First Last Email Enter Email Confirm Email Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands CURRENT OWNER OF HORSEName First Last Email Enter Email Confirm Email Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands FEESWith the same DNA sample to test Parentage, required for USMMA registration, you can also choose to test coat color. REGISTRATION FEE USMMA MEMBER $75.00 NON-MEMBER $125.00 MEMBER LATE FEE (OVER 12 Months) $75.00 + $50.00 = $125.00 NON-MEMBER LATE FEE (OVER 12 Months) $125.00 + $50.00 = $175.00 Registration fee includes DNA test cost. A late fee of $50.00 applies to registration requests made 12 months after birth. Or in the case of purchase of a non-registered horse, late fee is applied for request made 12 months after purchase.CREDIT FOR DNA SUPPLIED BY ABCCMM $25 CREDIT – ABCCMM DNA You must supply USMMA with a copy of the ABCCMM DNA Report to enter into UCDavis VGL LaboratoryColor TestSINGLE COLOR TESTS (Optional – select zero or more test) Agouti (Bay/Black) Cream Dilution Dun Dilution Gray Red Factor Roan Zygosity Tobiano COLOR PANELS (Optional – select one) Red Factor and Agouti Panel – Tests for these two coat color markers Color Coat Panel – Combines Red Factor, Agouti, Champagne, Cream, Dun Dilution, Gray, Pearl, Silver TOTAL REGISTRATION AND COLOR TEST FEES METHOD OF PAYMENTPlease indicate how you will be paying for the DNA kit and registration processing Paypal invoice (we will send) Check via mail Δ