Breeder Certificate – Welsh Pony & Cob Society of America

We offer two ways to submit WPCSA forms. You may either print a hard copy and snail mail by choosing the “print and mail form” button or use the online form below to submit your form. If payment is required the online form allows for payment with a credit card. If you choose this option, please make sure you receive a confirmation of receipt email.

Print and Mail Form

Online Form

THIS FORM SHOULD ONLY BE COMPLETED AFTER THE MARE OWNER HAS PAID ALL FEES TO THE STALLION OWNER. PROVIDE THE MARE OWNER CONTACT E-MAIL AND A COPY OF THE FORM WILL BE E-MAILED TO THEM FOR THEIR RECORDS.

ONCE YOU HAVE COMPLETED THE FORM AND HIT SUBMIT DO NOT REFRESH THE PAGE!! SIMPLY CLICK HERE TO START OVER ON YOUR NEXT FORM. THIS FORM WILL BE SENT TO ONLY THE MARE OWNER E-MAIL YOU PUT IN THE FORM AND A COPY WILL BE E-MAILED TO YOUR E-MAIL AS WELL FOR YOUR RECORDS. IF YOU DO NOT HAVE THE MARE OWNER E-MAIL SIMPLY PLACE YOUR OWN E-MAIL IN THE FORM AND A PDF WILL BE E-MAILED TO YOU THAT CAN THEN BE PRINTED AND MAILED TO YOUR MARE OWNER.

IF YOU HAVE ANY ISSUES SUBMITTING THIS FORM PLEASE CONTACT MEGAN BURTNESS (MEGAN@BRIDLEWOODWELSH.COM).

This is to certify that the Stallion:*
was bred to the mare:*
owned by:*
First Last
Mare Owner Email*

Please provide the mare owner e-mail address here. A PDF of this form will be e-mailed to them. If you do not have their e-mail address you can e-mail it to yourself and then print the form to be mailed to the mare owner.
List*
Month Dates Year

If the mare was covered in multiple months please add an additional line by clicking the + symbol for each month.
Stallion owner or Authorized Agent Email*
Signature*

1. The stallion owner is to furnish a Breeding Certificate with each bred mare sold by him and with each visiting purebred mare brought to his stallion for service. Owners of mares other than registered Welsh are to be furnished a Breeding Certificate providing they desire to register the foal as Half-Welsh. 2. The mare owner should keep the Breeding Certificate to attach to the application for registration of the resulting foal and contact the society headquarters to see his mare is listed on the Stallion Service Report. 3. Owners of mares other than registered Welsh are required to attach the Breeding Certificate to the application for registration of the resulting foal. 4. A Breeding Certificate is not used for mares belonging to the stallion owner. NOTE: This form is to be completed only after stud fee has been paid.
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Month	Dates	Year