Peruvian Paso Horse Registry of North America
        Horse Improvement Program

        Test 1 -- Veterinarian's Statement

     Name of horse______________________________________ PPHRNA # _________
 
     Owner: _______________________________________________________________

     Date of Foaling: _____________________________________________________

     Color: _______________________________________________________________

     Markings: ____________________________________________________________

     ______________________________________________________________________



        This horse does NOT have the following faults/defects:

      [ ]  Deformity or abnormality of the mouth (parrot mouth, bull dog mouth, etc.)
      [ ]  Severe sway back or roach back
      [ ]  Severely crooked front legs (bench knees, calf knees, buck knees, toe-in/out)
      [ ]  Club foot
      [ ]  Lack of coordination (wobbler)
      [ ]  Excessively long pasterns or dropped fetlocks
      [ ]  Severely cow hocked, sickle hocked or post legged
      [ ]  Signs of any other genetically transmitted disease or fault
      [ ]  Other heritable abnormality or defect: _________________________
      [ ]  _____________________   Circumference of front canon bone in inches.
      [ ]  _____________________   Height of horse (in hands)
      [ ]  Enclose four, current color photographs of the horse (both sides, front and rear)

    _______________________________________________________________
    Signature of Veterinarian

    _______________________________________________________________
    Veterinarian's Name

    _______________________________________________________________
    Veterinarian's Address

    _______________________________________________________________
    Veterinarian's Telephone