Prospective Horse Donation Form

* First Name

* Last Name

* Email:

* Mobile Phone:

* Street Address:

* City:

* State:

* Zip Code:

Horse Information:

* Horse Barn Name:

Horse Show Name:

* Horse Breed:

* Horse Age:

* Horse Height:

* Horse Gender:

Mare

Gelding

* Does the horse have Hunter/Jumper, Eventing or Dressage Experience?

What is the horse’s current daily level of work?

* What is the horse’s previous show experience?

Competition Association:

Horse ID (if available):

* Stable Vices(e.g., cribbing, weaving):

* Attitude on the ground/in the stall:

* Medical History and Soundness Concerns (including routine maintenance):

* Diet (including supplements):

* Can your horse lesson in groups?

Yes

No

* Can the horse be turned out in groups?

Yes

No

If yes day or night turn out?

* Reason(s) for donation:

Horse Stable Name:

Contact Person Full Name:

Mobile Phone:

Stable Street Address:

City:

State:

Zip Code:

Additional Comments or Questions: