Nomination Form and Keep Charges

NOMINATION AGREEMENT

For mares visiting the stud only.

I have read the terms and conditions as set out by Overa Farm Stud and agree to purchase a nomination for the 2008 season to the Stallion..........................

I enclose a deposit of £50 plus VAT (£58.75) and agree to pay the balance of the stud fee and grooms fee once the mare has been covered.

NAME OF MARE.....................................................................AGE.....................

SIRE OF MARE......................................................................................................

DAM OF MARE.....................................................................................................

STUD BOOK REGISTRATION/PASSPORT NO...............................................

PRE-COVERING RECORD

(Please delete Yes/No as appropriate and give any further information overleaf)

Is the mare quiet at all times?                                                                          Yes/No

Does she cycle regularly?                                                                                Yes/No

Does she normally conceal her heat?                                                             Yes/No

Has she during the last 12 months had any infections

or contagious diseases?                                                                                  Yes/No

Has she during the last two years been to a stud/yard where there

has been a case of Equine Herpes Virus or Equine Viral Arteritis?           Yes/No

Has she ever had a uterine infection?                                                             Yes/No

Has she ever been treated for infertility?                                                        Yes/No

Covering record for the last three years:

     Stud/Stallion visited          Live foal / Barren / Aborted

20..........................................................     .................................................

19..........................................................     .................................................

19..........................................................     .................................................

Date of last worming and drug used........................................................

Is the mare insured?                                                                                            Yes/No

Additional information for mares to be foaled down at Stud:

Date due to foal..........................................................................................

Has the mare been stitched? (Caslick operation)                                           Yes/No

Does she foal early or without warning?                                                           Yes/No

Has she ever had a haemolytic foal?                                                                Yes/No

Has she ever had a barker/dummy foal?                                                          Yes/No

Is she short of milk after foaling?                                                                       Yes/No

Do you wish the stud to complete the foal identification certificate?             Yes/No

Approximate date of arrival at stud..........................................................................

To be kept:

At grass / Stabled / In or out according to weather (at stud's discretion)

KEEP CHARGES

(per week)

     Barren/Maiden Mares at grass                   £30.00

    Barren/Maiden Mares in at night               £55.00

    Mares with foal at foot at grass                 £35.00

   Mares with foal at foot in                            £60.00

   Foaling fee                                                     £95.00

   Grooms fee                                                    £15.00

   Long stay mares/youngstock by arrangement.

NAME OF OWNER:..............................................................................................

ADDRESS:.............................................................................................................

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Tel No:............................................(Day).............................................(Evening)

ADDRESS WHERE NORMALLY KEPT (If different from above)

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NAME OF VETERINARY SURGEON:................................................................

TEL NO:.................................................................................................................

Signature of Owner.................................................Date......................................