Submission Date
/
Month
/
Day
Year
Date
Owner Name
*
Email
*
example@example.com
Preferred Phone #
*
Format: (000) 000-0000.
Owners Address
*
City
*
State
*
Zip
*
Equines Name
*
Equines Age
*
Breed
*
Height
Gender
*
Mare
Gelding
Age/DOB
*
Equines Address
*
City
*
State
*
Zip
*
How long have you owned the horse
Riding StyleTraining
Veterinarian Name
*
Last farrier visit
*
Veterinarian Phone Number
Format: (000) 000-0000.
Date of last Coggins
/
Month
/
Day
Year
Date
Please list a brief health history including illnesses choke laminitis vaccine reactions colic etc
Please list any medications this horse is currently taking including dosage
Has this horse been screened or diagnosed with Cushing's, chronic founder, EPM, joint/arthritis issues, ring bone, navicular, or any other major illness/chronic conditions? If yes please explain
*
Please describe the current shoeing and any special farrier needs the horse has had historically sedation wedge pads hind shoes etc
*
Last date of vaccinations
/
Month
/
Day
Year
Date
Date of last deworming
/
Month
/
Day
Year
Date
Any lameness or soundness issues at the walk trot or canter? Previous injuries If this horse requires maintenance to stay serviceably sound please elaborate.
Type of feed
*
Amount of grain:
blanks
*
am
blank
*
pm
Does grain need to be soaked?
Yes
No
Type of hay and amount
*
Turnout schedule
How is the horse to catch
What tends to be the horses role in a herd dominate aggressive passive
Any vices or bad habits cribbing weaving etc
For the following topics please check items the horse has experience with and can reliably do safely, without undue stress. None of the items are disqualifiers; we just don't want to make assumptions about previous experiences the horse may have had:
Rows
Good/ Calm
Needs Work
Standing in Crossties
Being led with a rider
Grooming
Bathing
Picking up feet
Tacked
Ridden in indoor arena
Ridden in outdoor arena
Ridden on the trail
Fly Spray
Loading in a trailer
Lunging
Mounting Block
Crowds
Additional comments or notes about above table:
What type of arrangement do you prefer for this horse:
*
Donation
Lease
Why would you like HORSEPOWER to have this horse
Any additional information you would like for us to know
(All documents can be emailed to ride@horsepower.org)
Please upload or email a current photo of the horse
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload or email proof of current Coggins test
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload or email a video of horse being ridden at walk
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload or email a video of horse being ridden at trot
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload or email a video of horse being ridden at canter
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Other videos
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Preview PDF
Submit
Should be Empty: