Equine Reproduction Lab

University of Wisconsin-Madison

Madison, WI 53706

Ph. (608) 263-7698

Fax (608) 262-5157

 

Equine Fresh Semen Transport and Breeding Sheet

 

Horse Information

 

Semen Collected From:

 

Semen Shipped To:

 

 

 

 

 

Stallion Name:

 

Mare Name:

 

Farm/Owner:

 

Farm/Owner:

 

Address:

 

Address:

 

 

 

 

 

 

 

 

 

Phone #:

 

Phone #:

 

 

Semen Information

 

Collection Date:                                                          Time:                                      

 

Volume (Gel-Free)                                                        mls

Sperm Concentration                                                    million/ml

Total Number of Sperm in Ejaculate                             billion

Sperm Motility:                                                             % (Raw)

                                                                                      % (Extended)

Sperm Morphology:                                                     % Normal

                                                                                      % Primary Abnormalities

                                                                                      % Secondary Abnormalities

 

Extended Semen Information

 

Semen Concentrated:   Y  N

Semen Extender Used:                                                                       

Antibiotic(s):                                                              

 

Volume of Raw Semen per shipped dose:                                     mls

Volume of Semen Extender per shipped dose:                              mls

Total Volume of Extended Semen per shipped dose:                    mls

 

Total Number of sperm per shipped dose:                                    million

 

Insemination Information

 

Insemination (s)          #1        Date/Time:                                         Motility:             %

                                    #2        Date/Time:                                         Motility:             %