This form must be completed for each horse stabled here.

 AMERICAN CANYON TRAINING CENTER INTAKE FORM

 

HORSE’S NAME:  ___________________________________

Date:  _________________

 

Description of horse (breed, color, sex, age, markings, etc.)

 

 

FEEDING INSTRUCTIONS:

 

 

 

OWNER’S NAME:  ____________________________________

Address:

 

 

Telephone number(s):

 

 

Should any number NOT be put on horse’s stall for emergencies?

 

VETERINARIAN:__________________________________

 

Medical warnings (allergies, tendencies, etc.)

 

 

Others to call (farrier, riders, groomer, etc.)

 

 

IN CASE OF EMERGENCY CALL:

 

Is this horse subject to medical or mortality insurance that should be called in case of emergency?            If so, give necessary information:

 

 

WORMING: If on daily treatment, what is it?

If other, what program, when was the last dose and what was it?

SO YOU WANT US TO WORM THIS HORSE?

Other comments and instructions (gear, behavioral quirks):

 

Will you be parking a trailer here?

If yes, please give a brief description (size, color, type, license number, any other useful means of identification)