Owner Info Sheet
OWNER'S INFORMATION SHEET
Submitted To: _______________
(Fill out one for each horse boarded.)
(as recorded with the Registry)
Horse's Name and Number
Anticipated arrival date
Foal at Side?
Sire of Foal
Does Horse have any dangerous propensities? If yes, describe:
Stallion to which mare shall be
Medical History of Horse:
Allergies, if known
Encephalomyelitis (sleeping sickness), Eastern & Western Strains
Date of last worming
Known allergies to feeds
Special Care Requirements
To be contacted in case of emergency, if owner cannot be reached:
Is Horse insured?
Insurance contact for emergencies and phone number:
Veterinary emergency contact:
This Horse is/is not considered a surgical candidate in the event of colic or serious illness (check one).
_______IS ______IS NOT