StirrUp Purpose Program Horse Application

StirrUp Purpose

Program Horse Application
If you believe your horse would be a good fit for our programs, please read Program Horse Criteria prior to applying. Once we recieve your application, our Equine Manager will give you a call for further information and to possibly arrange a barn visit. Thank you for considering StirrUp Purpose for your beloved equine!
Owner Name*

First NameLast Name
Owner Phone Number*
Please enter a valid phone number.
Owner Email*
example@example.com
Horse Registered Name:
Barn Name:*
Breed:*
Age:*
Color:*
Height:*
Sex*
Years Owned:
Current Location of Horse:*
Why do you want your horse to work at StirrUp Purpose?*
What is your horse like in a herd?:*

Low manMiddle of the RoadLead Mare (or gelding)Highly Dominant
Describe your horse's temperament:*
What is your horse trained to do?:*

Show/CompetitionTrailDrivingShowmanshipEnglish (dressage, jumping, saddle seat, etc)Western (reining, cowhorse, cowboy dressage, etc)Other
Check all that apply:*

Loads in the trailerBathes/ClipsCross TiesLungesStands quietly while tiedWorks quietly in indoor and outdoor settingsIs comfortable in unfamiliar situationsLikes attention from peopleCatches easilyResponsive to aids
Describe your horse's health history (current and past illnesses, soundness issues, allergies, etc):*
List current medications:*
Does your horse require shoes? Why?:*
What does your horse eat? (list hay type, supplements, etc)*
Are you willing to financially support the provision of feed needs above and beyond hay and supplements?*

YesNo
Does your horse have any habits or vices?:*

YesNo
If Yes, explain:
Do you generally blanket your horse? If so, when?:*
List last vaccinations and date?:*
Last farrier work?:*
Last de-worming?:*
Are you interested in:*

Care LeaseDonationOpen to either
*****Please submit pictures of your horse without a saddle and video of your horse ridden at all three gaits to kaitlinc@stirruppurpose.org.
Should be Empty: