Apply for a Record Number | Fjord Alliance

Fjord Horse Record Number Application

Member First Name

Member Last Name

Horse's Name

Color

Gender

Microchip # (if none, state none)

White Markings (if none, state none)

Foaling Date (if known)

Where Foaled (if known)

Age

Age Is

Date of Purchase

Month

Day

Year

Sire's Name (if known)

Dam's Name (if known)

Owner(s) of Horse to be Recorded

Joint ownership can be registered as "and" or "or". All owners of record must sign the original application.

Owner Street Address

Please select one mailing address for multiple owners.

Owner City

Owner State

Owner Zip

Owner Phone

Owner Email

Owner Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Date Signed by Owner

Month

Day

Year

Additional Owner Signature

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Please let us know if more than 2 owners are being registered.

Date Signed by Second Owner

Month

Day

Year

File upload (color photo of horse, showing 1 - side view and 2 - face

Record Number Application Fee

Record Number Fee$25