Do you own the horse*

Sex*

Horse Date of Birth*

Has your horse ever coliced?

Is your horse suffering from a medical condition, illness or injury or had any major or minor issues in the past including lameness?*

Has your horse ever foundered*

Does your horse have any of the following habits or vices*

What type of hay do your currently feed?*

Do you agree to let us know of any health changes, feed changes, or vet recommendations right away?*

May we contact your vet in regard to your horse?*

Is your horse insured*

Do you agree to provide us with a copy of the insurance policy and or any changes?*

May we contact for reference*

Has there been any illnesses at this facility that could be considered contagious that you are aware of within the last year?*

Have you ever been asked to leave a boarding facility?*

Is your horse in a stall or pasture?*