ABI Foal Enrollment Year________

Foal’s Registered Name__________________________________________________

Breed__________________________Registration  Number_______________________

Sire____________________________Dam____________________________________

PLEASE INCLUDE A COPY OF THE FOAL’S REGISTRATION PAPERS

Copy of registration must be received in order for enrollment certificate to be issued.

This nomination grants this foal, bred in ________, born in ________ eligibility to compete in the Atlantic Breeders Incentive Program for the Futurity and Derby (usually held in conjunction with the Carolina Classic).  See complete program conditions for payback at www.abireining.com

NOMINATION FEE : By December 31 of weanling year    $100.00 (if sired by enrolled stallion) See www.abireining.com for foal enrollment fee schedule for older foals or foals by non-enrolled stallions

FOAL OWNER OR AGENT

Owner/Agent Name_____________________________________________________

Address_______________________________________________________________

Home Telephone#________________________________Fax____________________

Email_________________________________Signature________________________

SEND CHECKS PAYABLE TO:

Office Use Only:

Paid__________Amount_____________Check#__________________Cert Sent______