CHS Boarder Application

Century Hills Stables LLC

Boarder and Horse Application 2024 (we are accepting application ONLY for a move in date within the next two months. If you are looking for a move in date further out, please check back)
We require a $30 application fee.

Thank you for your interest in Century Hills Stables. Your application is important to us. When thinking about your arrival date, please keep in mind that we cannot approve any application overnight. We do check the information provided and all references before making a final decision to make certain that we are a good fit for one another. In addition to to how quickly your application can be approved, it all depends upon how responsive your references are. We look forward to learning more about you. :>)
Owner's Full Name:*

First NameLast Name
Owner's Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owner's Day Phone Number (best number to reach you in case of an emergency):*
Please enter a valid phone number
Owner's Evening Phone Number:*
Please enter a valid phone number.
Owner's Email:*

Confirmation Emailexample@example.com
Gender*

MaleFemalePrefer not to say
Please provide your date of birth:*

MonthDayYear
Date
Owner is 18 or older:*

YesNo
If a minor, name of parent or legal guardian:*

First NameLast Name
Parent or legal guardian email:*

Confirmation Emailexample@example.com
Date board will begin (Board is prorated if arriving after the 1st):*

MonthDayYear
Date
Horse Information*
I'm looking to move to a barn:*

To call homeUntil I can find exactly what I am looking forFor the short term, less than three months (additional fees will apply)For the short term, three to six months
Boarding Preference - Check all options that may apply. (Tack cubby included; Hay provided; there is a Surcharge of $50/month for heavy-draft-oversized.):*

Premium Limited Heated Stall Board, grain included, with turn-out $750Premium Limited Heated Stall Board, grain included, with NO turn-out $850Seasonal Boarding, Semi-private paddock in groups of 3-4 horses, grain included $395Pasture Board, Basic, hay provided $335Pasture Board, grain included $375Paddock Board, semi-private in groups of 3-4 horses, grain included $395Paddock Board, private for 2 horses, grain included $470 eachPaddock Board, private for 1 horse, grain included $550Private Run-In, grain included $550Covered Cowboy Stall 14'x16', grain included $550 - turned out unless requested otherwiseQuarantine for 30 days $600Weanling/yearling semi-private for 1-2 horses, grain included $$375 each
Feed Bag

I agree to supply a feed bag if required
Any other horse information you feel we should know? Any vices? Weaving? Cribbing?:*
I need help hauling my horse (hauling fee charged) to Century Hills? We cannot guarantee that we will be able to provide transportation, but will be able to provide the information of a local transport company:*

Yes, I need help with hauling or a referralNo, I have a trailer or someone who will haul for meMaybe, please provide additional information
I am a current boarder or leasee of Century Hills Stables:*

YesNo
Character reference of someone who has known you more than two years (Not related or living at same address). Must be an adult. Do not include your current barn here as a reference. Please complete ALL information. This reference does not need to be a horse person. Examples for references: Neighbor, mentor, 4H leader, teacher, employer, etc:*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:*
Please enter a valid phone number.
Email:*
example@example.com
I have boarded or leased a horse in the past two years?*

YesNo
Is your horse under the care of a veterinarian? If so, please provide Name of Clinic, Name of Veterinarian, and Telephone Number.
Barn Reference. Please provide the following information of the last two barns you boarded at, beginning with your current barn:*
Do you grant permission for Century Hills Stables to contact your references:*

Yes, I will notify my references that they may be contacted.No, do not contact my references (may effect our decision in processing your application).Does not apply, I am a current boarder.
To hold a place for your horse(s) at Century Hills Stables, after your application has been processed, we require a $100 - $200 nonrefundable deposit per horse (which will be applied to your first month's board) depending upon your move in date:*

Yes, please bill me to secure my place at your barn. This will be billed via credit card.No, I prefer to check back later to see if there are any available openings. Please do not continue your application will not be processed.
We require first and last month's board upon arrival (minus deposit):*

Yes, no problem, I can pay it upon arrivalNo, I cannot afford to pay it all at once and prefer to split it into two equal payments, with the second part due in the second month. i.e. $167.50 added to month one and $167.50 added to month two's invoice.

My Products*

Application FeeTo complete your application the fee is $30.

$30.00 Quantity
Item subtotal:$0.00

Total

$0.00

Credit Card

Today's Date:*

MonthDayYear
Date
Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Please sign here that all information provided is accurate*

Clear
If a minor, signature of parent or legal guardian

Clear
Should be Empty:

Century Hills Stables LLC

Credit Card