Racing Prospects - Race Age

Racing Prospects - Race Age

ONLINE SALE ENTRY QUESTIONNAIRE
Please fill out the following questionnaire according to horse type. All questions should be answered. HORSES SOLD AS RACING PROSPECTS/HORSES OF RACING AGE Sale:
Horses sold as Racing Prospects / Horses of Racing Age
Please List Sale
Horse name
HIP
Consignor
Is this horse a cribber?

YesNo
Does this horse have a sight defect?

YesNo
If yes to slight defect, Please briefly explain.
If male, is this a horse a Cryptorchid? Circle (Unilateral or Bilateral)

YesNo
Has this horse shown any lameness in the past 30 days?

YesNo
Has this horse been Gelded?

YesNo
Is this horse in race training? If yes, name of racetrack and trainer
Does this horse have any noticeable scars or cosmetic blemishes?

YesNo
If yes, to noticeable scars or cosmetic blemishes, please briefly describe.
Does this horse have any deviation from the norm in one or more hooves?

YesNo
If yes, to deviation from the norm in one or more hooves, please briefly describe.
Is this horse shod/wearing shoes?

YesNo
If yes, to shod/wearing shoes, please briefly describe.
IF YES TO ANY OF THE FOLLOWING, VET REPORT MUST BE SUBMITTED IN REPOSITORY:
Has this horse had any abdominal surgeries in the last two years?

YesNo
Has this horse had surgical intervention if the upper respitory tract?

YesNo
Does this horse have any deviation from the norm in one of more eyes?

YesNo
Please indicate if this horse has had any bisphosphonates/anabolic steroids?

YesNo
Has this horse been nerved?

YesNo
If yes, to any of the above, please desribe, date/surgery type/name of vet, etc.
Are there any other conditions, surgeries, or details to disclose that are not listed above, please do so here:
I, the consignor, herby accept full responsibility for the content of this form and release Heritage Place, Inc from any and all liability regaurding its veracity and accuracy.
Signature
Date

MonthDayYear
Date
Email
example@example.com
Should be Empty: