Application for Placement at Wild Chance Ranch


Owner Information

 

Horse Information
Name: Horse Name:
Address: Estimated Age:
City: Breed:
State: Gender:
Zip: Height:
Phone: Likes:
E-mail: Dislikes:
Years you have owned the horse: Temperament/
General Attitude:
    General Health:
    Allergies:
   

Medication/
Supplements:

       

 

We require a negative Coggins Test within 6 months of arrival
and current vaccination records.

Date of Last Vet Exam:
Date and list of last vaccinations:
Date and Type/Brand of last worming:
Date of last farrier service:

 

Specific Information

Is your horse turned out on a regular basis? yes  no
How many hours per day:
Does your horse get along well with others? yes no

 

ALL horses will be quarantined for a period of two weeks.
This provides safety to our current boarders, as well as allows your horse to become adjusted to his/her environment with minimal stress.

We reserve the right to refuse boarding to any horse
that we feel could be a danger or detriment to our other boarders.

 

    

Thank you for your submission!

 

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