Horse referral form

Racehorse Reimagined Referral Form

This Old Horse, Inc. accepts horses into our program who are retiring from a racing career. Horses are eligible for our adoption and foster program where we will attempt to match the horse with a qualified partner while the horse remains under the This Old Horse umbrella. For more information, email bteter@thisoldhorse.org.
Date*

MonthDayYear
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
Horse's name*
Breed / registration*
Year horse was born*
Height*
Color*
Gender*

MareGeldingStallion
Microchip number
Location of horse (if different from your address)
Specific address please
Is the horse rideable?*

YesNo
Describe your horse's current riding abilities*
Describe any lameness issues*
Describe any health considerations and what medications your horse is currently taking*
Additional Information such as personality and ground manners:*
Preferred Outcome*

Retirement placement at This Old HorsePlacement at approved, qualified foster partnerMatched for adoption by approved, qualified adopter
Is this horse a retired Minnesota racehorse?

Thoroughbred racehorseOther
Upload a photo if available
We require proof of a negative Coggins (within one year) for admissions, if you have a certificate, take a photo of it and attach it here.
Coggins (if available)
Upload health or vaccination record (if available)
This Old Horse is a 501c3 non-profit organization, accredited by the Thoroughbred Aftercare Alliance and funded through private donations. Please consider making a donation (suggested $500) to help support the cost of care for referred horses.
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Racehorse Reimagined Referral Form