RED Arena Equine Screening Form

RED Arena

a 501c3 non-profit corporation www.redarena.org
Equine Screening Form
Owner Contact Information
Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Home Phone

Area Code Phone Number
Work Phone

Area Code Phone Number
E-mail
Equine Information
Name of Equine:
Barn name or nickname?
Breed of Equine
Is the Equine registered?

Yes No
If so, with what registry?
Registration Number:
If the equine has a lip tattoo or brand, please describe:
Color of equine?
Markings on equine?
Age:
Height:
Weight:
Gender:
Name of Dam (if known):
Name of Sire (if known):

Temperament

	1	2	3	4	5	6	7	8	9	10

1 is Very Quiet, 10 is Highly Spirited

Friendliness towards adults

	1	2	3	4	5	6	7	8	9	10

1 is Nasty or Afraid, 10 is Very Friendly

Friendliness towards children

	1	2	3	4	5	6	7	8	9	10

1 is Nasty or Afraid, 10 is Very Friendly

Friendliness towards horses

	1	2	3	4	5	6	7	8	9	10

1 is Nasty or Afraid, 10 is Very Friendly

How long have you owned this equine?
Why are you selling, leasing or donating this equine?
How often is the equine currently being ridden?
If not currently being ridden, why not?
When is the last time the equine was being ridden regularly?

Month Day Year
This equine can be ridden by:

Children Adults Riders over 200 lbs (not exceeding 250 lbs)
This equine has been trained in or has experience competing in:

Trail (competitive) Endurance English Pleasure Western Pleasure Driving Eventing Barrel Racing Jumping Dressage Reining Youth Classes General Western Riding General English Riding Adult Lessons Youth Lessons
Describe any competitive experience this equine has:
Has this equine ever:

Kicked Bitten Bucked Reared
Please describe details of the above behavior or any other improper behaviors:
Does this equine have any stable vices such as kicking, cribbing, weaving, etc? Please describe:
This equine is easy to:

Catch/halter Lead Tie Load, Unload, Trailer Groom Clip Bridle Saddle Clean Feet Worm Stand quietly for mounting/dismounting
Please describe any additional information about difficulty with the above tasks:
Type of bit used

Snaffle Bit Curb Bit Double Bridle Bosal/Hackamore/Bitless Bridle
Type of mouthpiece on bit

Single Joint Dogbone/lozenge/double joint Myler Mullen Mouth/straight bar Twisted wire Low port High port
Does horse:

Direct rein Neck rein
Describe any current or previous lameness problems:
Describe any current or previous health problems:
Does this horse require any special maintenance (supplements, medications, corrective shoeing, etc)?

Yes No
Please describe:
Does the equine have any other special needs?
Is the equine current on vaccinations?

Yes No
If so, which and when?
What is the date of the equine's most current coggins test?

Month Day Year
What is the date of the last time the equine's teeth were floated?

Month Day Year
What is the equine's schedule for teeth floating?
When was the equine last wormed?

Month Day Year
What is the equine's worming schedule and wormer?
What is the date of the equine's last farrier visit?

Month Day Year
What is the equine's schedule for trimming and shoeing?
Does the equine wear shoes?

Yes No
If so, what kind and why?
What kind of housing situation is the equine used to?
What and how much is the equine currently being fed?
Does the equine receive supplements?

Yes No
If so, what kind and why?
Does the equine receive medications?

Yes No
If so, what and why?
RED Arena 1601 Bell Springs Rd Dripping Springs, TX 78620 512-807-6505
Should be Empty:

Now create your own Jotform - It's free! Create your own Jotform

RED Arena

Equine Screening Form

Owner Contact Information

Equine Information

RED Arena 1601 Bell Springs Rd Dripping Springs, TX 78620 512-807-6505