HORSEPOWER | Horse Application Form

Submission Date

Owner Name

Email

Preferred Phone #

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Equine Information

Equines Name

Equines Age

Breed

Height

Gender

Mare

Gelding

Age/DOB

Equines Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

How long have you owned the horse

Riding StyleTraining

Veterinarian Name

Last farrier visit

Veterinarian Phone Number

Date of last Coggins

Please list a brief health history including illnesses choke laminitis vaccine reactions colic etc

Please list any medications this horse is currently taking including dosage

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

Please describe the current shoeing and any special farrier needs the horse has had historically sedation wedge pads hind shoes etc

Last date of vaccinations

Date of last deworming

Any lameness or soundness issues at the walk trot or canter? Previous injuries If this horse requires maintenance to stay serviceably sound please elaborate.

Type of feed

Amount of grain: A.M.(Required)

Amount of grain: P.M.(Required)

Does grain need to be soaked?

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

Please upload or email a current photo of the horse

Max. file size: 512 MB.

Please upload or email proof of current Coggins test(Required)

Max. file size: 512 MB.

Please upload or email a video of horse being ridden at walk

Max. file size: 512 MB.

Please upload or email a video of horse being ridden at trot

Max. file size: 512 MB.

Please upload or email a video of horse being ridden at canter

Max. file size: 512 MB.