Potential SIRE Horse Information
Please tell us more about your horse
Owner Details
Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Please select if you are interested in Donating, Selling or Long-Term Lease.
Please Select
Donation
Long-Term Lease
Sale
Unsure
Horse Information
Horse's name
*
Age
*
Breed?
*
Gender
*
Location of Horse
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of last Farrier visit
*
-
Month
-
Day
Year
Date
Veterinarian’s name
*
Upload a current copy of Coggins test
*
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Please upload and Vaccine & vet records for the past two years or list below
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List Dates & Types of vaccinations over last two years
List any regular medications or treatments currently in use.
List daily feed schedule including supplements
Please rate the horses temperament
*
Please Select
1 - Very calm and relaxed
2
3
4
5 - Average demeanor and tolerances
6
7
8
9
10- Very excitable and easily distracted
Describe horse's activity routine on a weekly/monthly basis for past two years.
*
Does your horse have any health or lameness issues?
*
Yes
No
If yes, please describe any health or lameness issues
Has your horse ever lived in a stall and if so, what was their reaction?
*
Does your horse get turned out or live in a paddock/pasture with other horses? If so, where do they fall in the herd?
*
Tell Us More About Your Horse!
*
Why do you want SIRE to have this horse?
*
Upload up to 5 pictures or videos Storage MAX- 10GB
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Affidavit of facts:
I confirm that all information supplied above is correct and accurate.
Signature
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