Semen Disposition

    Collection Date: Straw ID: Number of Straws:

    Semen Release

    As owner or agent of the owner of the above identified semen, I authorize representatives of ICG:

    Check this box to acknowledge this authorization will remain in effect until cancelled, in writing, by the owner.

    Storage Facility Transfer or Shipment for Insemination

    If for Insemination Purposes

    Semen Ownership Transferred To