Online Application For Foal Recording

The form contained on this page is the application for foal recording with Dilutes Australia Ltd.

IMPORTANT - You ALSO need to download a zip file that contains the diagrams and pedigree forms, which need to be extracted, completed electronically and emailed through to us using the links alongside the application form (download diagrams and pedigree forms zip file)

Who can use this form:

all horses and ponies under 2 years of age

Who MUST use this form:

all SOLID PALOMINOS under 2 years of age
all COLTS under 2 years of age regardless of colour, register or parentage

**Please note that all horses registered with other breed societies must be registered using the SAME NAME as they have with their other breeds.

Please don't forget to lodge the pedigree chart.

Pedigree Chart

Online Chart - please download to your device once completed and email to dilutesaustralia@gmail.com upon completion.

Application For Foal Recording

All fields followed by an asterisk must be filled in.

If this is an Express registration, please tick the box. Will be processed within 5 working days of receipt of funds & paperwork. Express registrations incur a $20 surcharge.

EXPRESS REGISTRATION

Name of Horse or Pony (including stud prefix if it forms part of the horse's name)*

Gender*

	Palomino
	Buckskin / Smoky Black
	Cremello / Perlino / Smoky Cream
	Dun
	Champagne
	Silver
	Pearl
	Mushroom
	DA Non Solid Dilute
	DA Non Colour Compliant Dilute
	Dilute Ancillary
	Non Dilute Ancillary

Foaling date (put 'NA' if not known)*

Colour*

If you selected 'Other' for colour above, please specify (ie buckskin silver, amber cream, buckskin dun, grey born palomino etc)*

Breeder's Name (if known)

Breeder's Address (if known)

Owner's / Lessee's Name*

Owner's / Lessee's Address *

Owner's / Lessee's DA Membership Number

Name of Sire (if not known put 'Unknown')*

Colour of Sire (if not known select 'Unknown')*

If you selected 'Other' for colour above, please specify (ie buckskin silver, amber cream, buckskin dun etc)

Breed Registrations of Sire (ie ASHS / AQHA) - please list as per example. Put 'NA' if not registered or unknown*

Registration Numbers of Sire (Put 'NA' if not registered or unknown)*

Name of Dam (if not known put 'Unknown')*

Colour of Dam (if not known select 'Unknown')*

If you selected 'Other' for colour above, please specify (ie buckskin silver, amber cream, buckskin dun etc)

Breed Registrations of Dam (ie Dilutes Aust / AQHA) - please list as per example. Put 'NA' if not registered or unknown*

Registration Numbers of Dam (Put 'NA' if not registered or unknown)*

OWNER'S / LESSEE'S DECLARATION - I*

hereby declare that all particulars given in this application are correct to the best of my knowledge. Add date in box below then please proceed to complete the check list below.*

Email address (preferred) or contact phone number*

Have you paid yet and emailed us verification if done by direct debit or at at a Bendigo Bank? If you prefer to pay another way, please specify below. (Registrations will not be processed until full payment is received/cleared). **

	Yes
	Other preferred payment method

Preferred payment method

Other payment method

Have you completed and lodged a membership application / renewal if not a DA member or not currently financial?*

	Yes
	No (your registration will not be completed until this is received)
	NA (already a current member)

Have you emailed us a full view photo of the NEAR SIDE?*

	Yes
	No

Have you emailed us a full view photo of the OFF SIDE?*

	Yes
	No

Have you emailed us a full view photo of the REAR?*

	Yes
	No

Have you emailed us a full view photo of the FRONT?*

	Yes
	No

Have you emailed us side on photos of the EYES?*

	Yes
	No

Have you emailed us UNDERBELLY photos?*

	Yes
	No

DUNS - have you emailed us photos of the DUN FACTORS?*

	Yes
	No
	NA

Have you emailed us a copy of any required DNA colour test results?**

	Yes
	No
	NA

Have you emailed us proof of breeding? (see regulations for more information)*

	Yes
	No
	NA

Have you emailed us verification of microchip details if microchipped?*

	Yes
	No
	NA

Have you emailed us proof of legal ownership if you did not breed the horse?*

	Yes
	No
	NA

Please enter the word that you see below.

Lodge your supporting documents

These links will open up your email software so you can attach the required documents to email to us.

Send payment notification

(copy of online transfer receipt or over the counter bank receipt) NOTE: processing, including Express Registrations, will not commence until the funds arrive in our account.

Details for Direct Debit:

Bank - Bendigo Bank
Name of account - Dilutes Australia Ltd
BSB - 633 000
Account # - 123 341 414
Reference - your name

Pedigree Chart

Online Chart - please download to your device once completed and email to dilutesaustralia@gmail.com upon completion.

Membership

Download membership application (interactive pdf / online form) if you are a new member

membership renewal (interactive pdf / online form) if you have been a member of ANY of the following in the past:

* Dilutes Australia

* United Palomino White Buckskin & Dun Association

* Palominos Australia

Lodge photographs

(mandatory for all registrations) Please ensure you complete the checklist below the application for registration to ensure you submit ALL required photos!

Lodge DNA colour test results

(if applicable)

Lodge proof of breeding

(if applicable)

Lodge microchip verification paperwork

(if applicable) Note - all horses being permanently registered must be either branded or microchipped unless ALREADY registered with another association that accepts unbranded / non-microchipped stock ie AQHA)

Lodge proof of legal ownership
(if applicable)

IMPORTANT INFORMATION:

In submitting this electronic form you acknowledge the following:

I declare that all particulars given in this application are correct to the best of my knowledge.

I declare that the horse described on this application conforms with the Company’s regulations regarding HYPP / HERDA, eye colour and white markings.

I further understand that if, for whatever reason, this horse is subsequently found not to conform with the Company’s regulations on HYPP / HERDA, eye colour and white markings, it will automatically be de-registered OR in the case of eye colour and white markings, transferred to the correct register.

I acknowledge that I am the legal owner or leasee** of the horse or pony being registered. ** As the official leasee of this horse or pony, I certify that I have the consent of the legal owner to register him/her with Dilutes Australia Ltd.

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**** COPYRIGHT ****

All information, text and photographs on this website are copyright to Dilutes Australia Ltd and must not be copied, saved or otherwise used without the express consent of the company.

It is the responsibility of owners, breeders and the public who supply photographs for use on this site to obtain permission to share those photos from the respective photographers.

All photographs supplied to the company by photographers are supplied for express use in the company magazine, on this website and for promotion of the company ONLY.

Individuals requiring copies of any of these photographs must purchase them directly from the photographers; they may not be saved for personal or other use from this website or any other company property ie magazines.

Online Application For Foal Recording

Please don't forget to lodge the pedigree chart.

Application For Foal Recording

Lodge your supporting documents

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