Please use the Tab key to tab through the fields. Click next to move between tabs.

Click Here for Pricing.

Breeder of Foal:
(Must match breeder on Jockey Club Papers)
Select Breeder Type:
Primary Breeder Contact:
(Where all forms will be mailed)
Primary Contact Federal Classification:
SSN / TAX ID:
Address:
City:
State:
Zip:
Phone:
Email:
IMPORTANT: All Partners will have to submit a W-9 to LTBA as part of the registration process.
If a W-9 is not on file with the LTBA, email address will be required to contact the partner / business.

Partner / Business Name W-9 On File with LTBA Address Contact Information % of BreederAward to bePaid
SSN / TAX ID 
PHONE 
EMAIL  
SSN / TAX ID 
PHONE 
EMAIL  
SSN / TAX ID 
PHONE 
EMAIL  
Farm Where Foal Was Dropped:
Address Of Farm:
City:
State:
Zip:
Farm Phone Number:
Color:
Sex:
Foal Type:
Date of Foaling:
Sire:
Dam:
Domicile of Sire:
Mare Bred Back To:
(Name of Stallion)
Domicile of Breed Back Stallion:
Domicile of Mare - Farm Name:
(In Louisiana)
Domicile of Mare - Farm City:
(In Louisiana)
Foal Type:
Breeder Name:
Fee:
Payment Method:
Name Of Person Signing:
I agree that I have read and understand the SEE L.T.B.A BY-LAWS FOR BREEDING AND AWARDS
*****
SEE L.T.B.A BY-LAWS FOR ACCREDITATION OF FOALS
The number I have provided is my correct taxpayer identification number.
I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am not longer subject to backup withholding.
I am a U.S. citizen OR U.S. person as designated by the IRS.