Declaration Of Health - Blenheim Fall Series

Declaration Of Health

Blenheim FALL SERIES
This Form Must Be Submitted For Each Horse Before Arrival At The Showgrounds
Trainer Name*

First NameLast Name
Barn Name*
I declare that the horses listed below has been in good health with no sign of infectious disease, and has not had a fever above 101.5° within the last 14 days.

I declare that the horses listed below is not demonstrating any signs of EHV-1, has not had any known exposure to EHV-1 in the past 21 days, and is not coming from a property with known EHV-1 positive cases.
Horses (click "+" to add more)*
Trainer/Owner/Agent Responsible for the truthfulness and accuracy of the aforementioned information
Name*

First NameLast Name
Cell Number*
10 digits, no special characters
Email*
example@example.com
Documents required to bring a horse to the Blenheim EquiSports showgrounds will be considered truthful and binding. In the event of any Biosecurity protocols being disregarded, we will refuse further entries from all related horses and we will inform USEF for further disciplinary action. Noncompliance with these protocols will result in penalties imposed by USEF on trainers and owners who knowingly permit non-compliant horses on the showgrounds.
Signature*

Clear
You will receive an email confirmation after your submission.
Should be Empty: