OTTB Placement Form
For non-racing owners of retired racehorses
Owner Name
*
First Name
Last Name
Contact Number
*
Email Address
*
example@example.com
Basic Horse Information
*
Registered Name
Year of Birth
Did this horse come through After the Races?
*
Yes
No
Not sure
Horse Gender
*
Please Select
Mare
Gelding
Stallion/Colt
Race History (brief)
*
Please Select
Unbroke
Unraced, but had race training
Raced years ago
Raced recently (within 1 yr)
Currently Racing
Does the horse come with any pre-existing conditions? (None of these exclude them from our program.)
*
Chip removal surgery
Surgery with hardware installed
Arthritis (fetlock)
Arthritis (knee)
Arthritis (hock or stifle)
Osslet(s)
Bowed Tendon
Suspensory Injury
Back issues
Vision issues
Heart Murmur
EIPH (bleeding when racing)
None
Other
Please select any vices or known behavioral issues (these do not exclude them from the program).
*
Cribbing/Wind Sucking
Wood chewing
Weaving
Stall walking
Rearing (in hand)
Rearing (under saddle)
Biting
Kicking
Aggression (toward humans)
Aggression (toward horses)
Defensive of stall
Food aggressive
Studdish
None
Other
If other for either previous question, please describe. Also please elaborate on other known issues.
Please describe in detail the reason for return/placement.
*
Please describe in detail any training the horse has had (racing or beyond). If currently being ridden, please elaborate on riding history. Please note any behavioral issues under saddle (they do not exempt a horse from our program).
*
Is the horse currently in danger (of being sent to auction, starving, injured, etc)?
*
Yes
No
Are you able to arrange shipping of the horse to ATR?
*
Yes
No
Does the horse have a current coggins (required for placement)?
*
Yes
No
No, but I will get one
What veterinarian(s) should we contact for records?
*
We operate on a waitlist basis generally, but is there a date the horse requires to be placed by? If no deadline, skip this response.
-
Month
-
Day
Year
Date
Are you willing/able to make a donation toward the horse's care?
*
Yes
No
Not Sure
If you have any pictures of the horse, please upload them here (not required)
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By signing below, you consent to have any veterinary records released to After the Races. You also certify that all information submitted is correct and accurate to the best of your knowledge.
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