Mare Breeding Intake Form

The Mare Breeding Intake Form provides our veterinary team with important background information about your mare’s reproductive history, current cycle status, and breeding goals.

Submitting this form in advance allows us to create an individualized plan and ensure efficient care throughout the breeding process.

Complete the intake form below, or reach out to our office if you need assistance.

Broodmare Intake Form

Mare Information:

Side that Colour

Owner Name *

Email *

Registered Name *

Barn Name *

Age / DOB

Breed *

Registration Number *

Colour and Distinguishing Markings

Medical History

Current Medications *

Behavioural Concerns *

Foal at Side (if applicable):

Name *

Date of Birth *

Any foaling complications? *

Breeding History

Maiden (never attempted to breed)
In foal / foal at side — due date or foaling date
Barren (attempted to breed last season)
Previous foals, but not bred last year

Breeding History (if applicable):

Breeding Plan

Please select all that are applicable:

Artificial Insemination- Fresh Semen
Artificial Insemination- Frozen Semen
Donor Mare for Embryo Transfer
Donor Mare for OPU

Planned Month of Breeding:

Stallion:

Location of Stallion / Semen:

If more than one embryo transfer, list desired order for stallions:

Stallion 1:

Stallion 2: