Equine Health Information and Attestation
In order to ensure that only healthy horses are coming onsite, we ask you to submit the following information. You can complete one form for horses coming from the same stable. Please complete additional forms for horses coming from different stables.
Name of trainer, owner or representative making Equine Health Attestation
First Name
Last Name
Email
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Stable Name
*
Stable Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Arrival/Schooling Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Date of Departure
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please list show name(s) of horse(s) coming onsite on the above date from the same stable
*
The horse(s) coming to Westar Farms on the above date has/have a current negative Coggins test(s) and a vaccination record(s), submitted with schooling request
*
negative Coggins test (within one year)
vaccination record (EHV 1 & 4 and Equine Influenza, administered within 6 months, but more than 7 days, before the event date)
As trainer, owner or representative, I attest that the horses from the stable listed have been in good health with a resting body temperature below 38.6℃, have shown no signs of undiagnosed respiratory illness, have been eating normally, and, to the best of my knowledge, have not been in contact with any other horses showing signs of infectious disease for the last 21 days. Upon request, I agree to provide the whereabouts of the horses, before and after the date listed above, if requested by the Westar Farms, for the purposes of contact tracing.
*
I agree
Signature of trainer or owner making equine health attestation
*
Submit
Should be Empty: