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Horse Application Form
Step
1
of
4
25%
Submission Date
MM slash DD slash YYYY
Owner Name
(Required)
Email
(Required)
Preferred Phone #
(Required)
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Equine Information
Equines Name
(Required)
Equines Age
(Required)
Breed
(Required)
Height
(Required)
Gender
(Required)
Mare
Gelding
Age/DOB
(Required)
Equines Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
How long have you owned the horse
(Required)
Riding Style Training
(Required)
Veterinarian Name
(Required)
Last farrier visit
(Required)
Veterinarian Phone Number
(Required)
Date of last Coggins
(Required)
MM slash DD slash YYYY
Please list a brief health history including illnesses choke laminitis vaccine reactions colic etc
(Required)
Please list any medications this horse is currently taking including dosage
(Required)
Has this horse been screened or diagnosed with Cushing's, chronic founder, EPM, joint/arthritis issues, ring bone, navicular, or any other major illness/chronic conditions? If yes please explain
(Required)
Please describe the current shoeing and any special farrier needs the horse has had historically sedation wedge pads hind shoes etc
(Required)
Last date of vaccinations
MM slash DD slash YYYY
Date of last deworming
MM slash DD slash YYYY
Any lameness or soundness issues at the walk trot or canter? Previous injuries If this horse requires maintenance to stay serviceably sound please elaborate.
(Required)
Type of feed
Amount of grain: A.M.
(Required)
Amount of grain: P.M.
(Required)
Does grain need to be soaked?
(Required)
Yes
No
Type of hay and amount
(Required)
Turnout schedule
How is the horse to catch
What tends to be the horses role in a herd dominate aggressive passive
Any vices or bad habits cribbing weaving etc
For the following topics please check items the horse has experience with and can reliably do safely, without undue stress. None of the items are disqualifiers; we just don't want to make assumptions about previous experiences the horse may have had:
Standing in Crossties
(Required)
Good/ Calm
Needs Work
Being led with a rider
(Required)
Good/ Calm
Needs Work
Grooming
(Required)
Good/ Calm
Needs Work
Bathing
(Required)
Good/ Calm
Needs Work
Picking up feet
(Required)
Good/ Calm
Needs Work
Tacked
(Required)
Good/ Calm
Needs Work
Ridden in indoor arena
(Required)
Good/ Calm
Needs Work
Ridden in outdoor arena
(Required)
Good/ Calm
Needs Work
Ridden on the trail
(Required)
Good/ Calm
Needs Work
Fly Spray
(Required)
Good/ Calm
Needs Work
Loading in a trailer
(Required)
Good/ Calm
Needs Work
Lunging
(Required)
Good/ Calm
Needs Work
Mounting Block
(Required)
Good/ Calm
Needs Work
Crowds
(Required)
Good/ Calm
Needs Work
Additional comments or notes about above table:
What type of arrangement do you prefer for this horse:
(Required)
Donation
Lease
Why would you like HORSEPOWER to have this horse
Any additional information you would like for us to know
Please upload or email a current photo of the horse
(Required)
Max. file size: 50 MB.
Please upload or email proof of current Coggins test
(Required)
Max. file size: 50 MB.
Please upload or email a video of horse being ridden at walk
Max. file size: 50 MB.
Please upload or email a video of horse being ridden at trot
Max. file size: 50 MB.
Please upload or email a video of horse being ridden at canter
Max. file size: 50 MB.
Other videos
Drop files here or
Select files
Max. file size: 50 MB.
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