REGISTRATION APPLICATION
INTERNATIONAL QUARTER PONY REGISTRY
Give up to 3 name choices not to exceed 30 characters and spaces. Do not use punctuation marks. (Apostrophes are accepted.)
1st Choice 2nd Choice 3rd Choice
Color: q Sorrel q Black q Bay q Dun q Palomino q Red Roan q Gray q Cremello
q Chestnut q Brown q Buckskin q Red Dun q Grullo q Blue Roan q Bay Roan q Perlino
Pattern: q Solid q Overo q Tobiano q Blanket q Leopard q Frosted q Roaning q Sabino
Sex: q Stallion q Mare q Gelding q Spayed Mare Blue Eyes: q Left q Right
Foaled Date: ______(Year Required) Height: ______Inches
To be completed by an official QPA inspector only
Inspected by: ______Inspection Date: ______Reference Number: ______
/ Send 5 photos with Application#1- Front ~ #2- Rear
#3- Right ~ #4- Left
#5- Side shot showing front of pony’s face
(#5 printed on papers)
Clearly draw all marking, brands, or scars
______
Owner of Sire at time of Service City, State of Sire Owner
______
Owner of Dam at time of Service City, State of Dam Owner
______
Owner of Pony at time of Registration Address of Owner (Line 1)
______ ______
Signature of Owner Address of Owner (Line 2)
______
Owner’s QPA Membership # City, State, Zip of Owner
______
Phone # of Owner (Including Area Code) Email Address of Owner
2007 REGISTRATION FEES
Standard or Breeding Stock ~ $25 // Hardship ~ $30 // Before 1 year old ~ $15 // Non QPA Member ~ add $15
SEND APPLICATION TO:
IQPA ~ P.O. BOX 230~ LYLES, TN 37098
For more information visit www.quarterponyassociation.com or www.iqpa.com