Horse InformationHorse's Name*Breed*AppolossaQuarter HorseBelgianOtherOther Breed*Age*Sex*Color*Height*Weight*Years Owned*Registered* Yes No Reason for donation*How did you hear about Open T.R.A.I.L. Ranch* My horse is current on... Vaccines Shoeing Teeth Worming Date of last Tetanus (MM/YY)Date of last WEE/EEE (MM/YY)Date of last West Nile (MM/YY)Date of last Worming (MM/YY)Please include brand used.Date of last Teeth Float (MM/YY)Date last Trimmed (MM/YY)Date of last Shoeing (MM/YY) Does any of the following apply to your horse? Swayed back Horse is cinchy Stress Colic Hock Injections Afraid of water Bucked Reared Kicked Bitten Cribbing Does your horse get along with other equines?What kind of housing situation is the equine used to (pasture, stall, etc...)*Has your horse had formal training? If yes, what type?*What type of riding has your hose done?* What type of bit and saddle do you use?*Direct rein or neck rein?*Does your equine stand quietly for mounting/dismounting?*When was your horse last ridden and how often?*Have you even ridden your horse in pads and a halter? If yes, how did they respond?* How would you judge your horse's ability to tolerate any of the following: loud noises, moving objects, and/or quick movements?*How might your horse respond to an unbalance rider?*Has your horse ever been around children? If yes, how did they respond?*Has your horse ever been around large groups of people and horses, such as at a horseshow? How did they react to the activity?*Can your horse be touched anywhere on their body?* Does your horse turn left, right, stop and move forward easily?*Does your horse walk, trot, and canter in both directions easily*Does your horse have good ground manners?*Is your horse claustrophobic (trailer, wash rack)?*Does your horse tie, bathe, clip, and load easily?*Does your horse pick up their feet easily?* Any Vision Impairment?Any Hearing Impairment?Any Dental Problems?Ring Bone / Sidebone?NavicularIs your horse afraid of moving vehicles? Yes No Have you owned your horse for more than a year? Yes No Please list any lameness or past injuryPlease check all that apply: Surgery in past Horse has foundered Horse is head shy Bites When your horse is startled or spooked, how do they act?*Are there any unusual behaviors (good or bad) that we should know about your horse? Current Feeding PlanTime of DayHayGrainSupplementsOther Please specify type/brand and amount Owner InformationOwner's Name* First Last Email* Phone*Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code
