Horse Donation Application
Please fill out the application to be contacted by a member of the REINS Barn Team.
Owner Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Horse Name
*
Are you able to deliver or pickup the horse?
*
Yes
No
Reason for rehoming the horse:
*
Will you take the horse back after they are finished at REINS?
*
Yes
No
Do you want first right of refusal?
*
Yes
No
Do you want to sponsor this horse for the first year at REINS ($3,500-5,000)?
Yes
No
Breed:
*
Age:
*
Height:
*
Training:
*
Gymkhana
Trail
Dressage
Lesson Horse
Hunter/Jumper
Western
Pleasure
Bareback
Eventing
Other
Current farrier treatment:
*
Full shoes
Half shoes
Barefoot
Current Farrier:
*
First Name
Last Name
Farrier phone number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Feed/Diet:
*
Does your horse currently have/had in the past 10 years:
*
Ringbone
Sidebone
Navicular
Founder/Laminitis
Arthritis
Colic or colic surgery
Ulcers
Cribbing/Windsucking
Windpuffs
Bone Spavin
Neurologic Diagnosis
Kissing Spine
PSSM
Other
If you responded other to the last question or have any other lameness/conditions/conformational abnormalities to disclose, please elaborate:
Please check any current medications:
*
Equioxx
Bute
Omeprazole/other gut supplements
Prescend (pergolide)
Thyro L/other Thyroid medication
Hydroxyzine
Aspirin
Isoxsuprine
Joint Injections
Adequan
Osphos
Other
Current Veterinarian:
*
First Name
Last Name
Veterinarian phone number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Ownership history:
Current rider information - age, weight, height, ability level:
*
Horse requires what kind of rider?
*
Beginner/Leadline
Novice/Independent
Advanced/Experienced
Has the horse been turned out with other horses?
*
Yes
No
Maybe
Is the horse aggressive during feed time/or with other horses?
*
Yes
No
Does the horse have any dental abnormalities?
*
Yes
No
Photos/videos of the horse:
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