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Take a look inside Pathway Creations Horse Journal. Designed to keep all your information in one place, there are pages for pictures, memories, first moments, pet health records and important contacts like verterinarians, pet sitters, breeders and more.
Citation preview
© Copyright November 2012All rights reserved by Pathway Creations
Cedar Rapids, Iowa 52406
ISBN 978-0-9837948-7-5 -dark brownISBN 978-0-9837948-8-2 -tan
ISBN 978-0-9837948-9-9 -palomino
All rights reserved, including the right of reproduction, in whole or in part, in any form.
Horse JournalYour Special Companion’s Journey
What we have once enjoyed we can never lose;
All that we love deeply, becomes part of us.
– Helen Keller
Choosing Your Trusted Steed
____________________________________Name
____________________________________
_____________________________________ Owner(s)
You fell in love with your horse because:_____________________________________
________________________________________________________________________
________________________________________________________________________
Why you chose your horse’s name:__________________________________________
________________________________________________________________________
Nickname: ______________________________________________________________
What made you become a horse owner? ____________________________________
________________________________________________________________________
________________________________________________________________________
Homecoming
Date your horse joined your family:__________________
Horse’s fi rst reaction to his/her new surroundings:____________________________
_______________________________________________________________________
What was frightening to your horse?________________________________________
What comforted him/her?________________________________________________
Their fi rst night at home: __________________________________________________
First few weeks of adjusting to their new surroundings:_________________________
_______________________________________________________________________
PHOTO Picture Perfect
Breeder Information:
Sale Details:
_______________________________________________________________________
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Name: _________________________________________________________________
Date of Birth: _______________________________
Place of Birth:_________________________________________ ________________
Breeder’s Name_________________________________________________________
Farm:__________________________________________________________________
Sire’s Registry_______________________________ Registration # _______________
Dames’s Registry ____________________________ Registration # _______________
Purchase Date:_______________________________
Current Owner’s Name: Farm:
__________________________________________ ___________________________
__________________________________________ ___________________________
Previous Owners:
_______________________________________________________________________
_______________________________________________________________________
Notes:
________________________________________________________________________
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Ownership History
City State
Horse
Sire: Dam:
Breed:__________________________________________________________________
Breed characteristics:________________________________________________________________________ ________________________________________________________________________
Father’s Traits:________________________________________________________________________
________________________________________________________________________
Mother’s Traits:________________________________________________________________________
________________________________________________________________________ Names of Known Siblings:
________________________________________________________________________
________________________________________________________________________
Pedigree
Our horse’s leg markings are similar to: Stocking Stock Fetlock Pastern Coronet (draw)
n n n n n n
PHOTO
Our horse’s leg markings are similar to:Our horse’s leg markings are similar to:Our horse’s leg markings are similar to:
Stocking Stock Fetlock Pastern Coronet Stocking Stock Fetlock Pastern Coronet
n n n n n nn n n n n nn n n n n n
Our horse’s leg markings are similar to:Our horse’s leg markings are similar to:Our horse’s leg markings are similar to:
Stocking Stock Fetlock Pastern Coronet Stocking Stock Fetlock Pastern Coronet
n n n n n nn n n n n nn n n n n n
Our horse’s leg markings are similar to:Our horse’s leg markings are similar to:Our horse’s leg markings are similar to:
Stocking Stock Fetlock Pastern Coronet Stocking Stock Fetlock Pastern Coronet
n n n n n nn n n n n nn n n n n n
Stocking Stock Fetlock Pastern Coronet Stocking Stock Fetlock Pastern Coronet
n n n n n nn n n n n nn n n n n n
(draw) (draw)
n n n n n nn n n n n nn n n n n n
Draw or describetattoo or branding mark.
Breed__________________________________________________________________
nFemale nMale
Coat Color________________________________________________________
Unique Markings
_________________________________________________________________
_________________________________________________________________
Eye color_________________________________________________________
Height_________________________________Date______________________
Special Characteristics:___________________________________________________
_______________________________________________________________________
Temperament:___________________________________________________________
Your Special Horse
Our horse’s marks are similar to: Bald Blaze Snip Star Stripe (Draw mark)
n n n n n n
Horse’s Unique Qualities
________________________________________________________________________ ________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_______________________________________________________________________
________________________________________________________________________ ________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
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________________________________________________________________________ ________________________________________________________________________
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________________________________________________________________________ ________________________________________________________________________
Traits you’ve noticed:______________________________________________________
________________________________________________________________________
Your horse shows loyalty by:______________________________________________
Your horse shows affection by:______________________________________________
Your horse shows bravery by:______________________________________________
She/he becomes frightened by: ____________________________________________
She/he gets excited by:____________________________________________________
Ways you can calm and comfort her/him:_____________________________________
Your horse shows her/his mischievousness by:
___________________________________________
In Social Situations
Your horse is shy when:__________________________________________________
How your horse reacts to the following:Cautious Frightened Excited Friendly Aggressive
New people n n n n n Crowds n n n n n Children n n n n n Dogs n n n n n Noises n n n n n
Personality & Character
2 years
18 months
15 months
12 months
9 months
6 months
4 months
12 weeks
8 weeks
6 weeks
4 weeks
2 weeks
Birth
Recognized your voice:____________________________________________________
Weaning:_______________________________________________________________
_______________________________________________________________________ Feeding : _______________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Halter Training:__________________________________________________________
Foal Growth AGE Weight Height
Foal Firsts
Special Memories:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
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______________________________________________
______________________________________________
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We can judge the heart of a man by his treatment of animals.
– Immanual Kant
Favorites
Treats:____________________________
__________________________________
Food:_____________________________
_______________________________________________________________________
________________________________________________________________________
Persons:________________________________________________________________
_______________________________________________________________________
Place to rest:____________________________________________________________
Retreat:_________________________________________________________________
Exercise:________________________________________________________________
Gait:___________________________________________________________________
Frolic or Game:___________________________________________________________
Trails:___________________________________________________________________
________________________________________________________________________
Other playmates:_________________________________________________________
_______________________________________________________________________
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Training Log
________________________________________________________________________ ________________________________________________________________________
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Horses can be very powerful and potentially dangerous animals. Training is an important safety measure that will allow you to gain control and develop a trusting and respectful relationship with your animal.
Basic Training
1. Come 2. Go 3. Stop 4. Stay 5. Yield 6. Turn 7. Hold foot up for care 8. 9. 10. 11.
Very Good Good Not So Good Very Good Good Not So Good
BEFORE AFTERHORSETRAINING
Trainer: ________________________________________________________________
Type of training: _________________________________________________________
Goals: __________________________________________________________________
Special method used:_____________________________________________________
Training dates:_______________________________
Additional training: __________________________
Training problems:___________________________
____________________________________________
Behavioral problems:_____________________________________
Special Accomplishments
________________________________________________________________________ ________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
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________________________________________________________________________
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Specialized Training
Trainer: ________________________________________________________________
Type of training: _________________________________________________________
Goals: __________________________________________________________________
Special method used:_____________________________________________________
Training dates:_____________________________
Additional training: _________________________
Training problems:__________________________
________________________________________
________________________________________
Behavioral problems:_____________________________________
_______________________________________________________
_______________________________________________________
Type of Horse Training: Pleasure Reining Walk Trot Canter Gallop
n n n n n n
Trail Reining Leadership Following Water Cross Spooking
n n n n n n
English Hunter Jumper Dressage Eventing ________
n n n n n n
Western Halter Reining Cattle Barrels Rodeo
n n n n n n
Riding Lesson Notes
________________________________________________________________________ ________________________________________________________________________
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________________________________________________________________________ ________________________________________________________________________
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________________________________________________________________________
________________________________________________________________________ ________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________ ________________________________________________________________________
Rider TrainingRider: _________________________________________________________________
Lessons: ________________________________________________________________
Instructor:______________________________________________________________
Type of training: _________________________________________________________
Goals: __________________________________________________________________
Type of Rider Training Head Position Problem: _______________________________________
n Solution: _______________________________________
Shoulder Position Problem: _______________________________________
n Solution: _______________________________________
Upper-body Position Problem: _______________________________________
n Solution: _______________________________________
Seat Position Problem: _______________________________________
n Solution: _______________________________________
Arm/hand Issues Problem: _______________________________________
n Solution: _______________________________________
Leg/knee Issues Problem: _______________________________________
n Solution: _______________________________________
Heel/Foot Issues Problem: _______________________________________
n Solution: _______________________________________
Balance Issues Problem: _______________________________________
n Solution: _______________________________________
Confidence Issues Problem: _______________________________________
n Solution: _______________________________________
Clubs/Meetings(4H, Pony Club, Breed Association Clubs, etc.)
Association:____________________________________Member #_______________
Leadership Role: ____________________________________________Year:________ Duties: __________________________________________________________
Role:________________________________________________Year: ________ Duties: __________________________________________________________
Favorite Events: ____________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________
Association:____________________________________Member #_______________
Leadership Role: ____________________________________________Year:________ Duties: __________________________________________________________
Role:________________________________________________Year: ________ Duties: __________________________________________________________
Favorite Events: _________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________
Connecting with Other Horse Lovers
Clubs/Meetings(4H, Pony Club, Breed Association Clubs, etc.)
Club:___________________________________________Member #_______________
Project Involvement: ________________________________________Year:________ Duties: __________________________________________________________
Role:________________________________________________Year: ________ Duties: __________________________________________________________
Favorite Events: ____________________________ _________________________________________ _ _________________________________________ _________________________________________ _________________________________________ _________________________________________
Club:___________________________________________Member #_______________
Project Involvement: ________________________________________Year:________ Duties: __________________________________________________________
Role:________________________________________________Year: ________ Duties: __________________________________________________________
Favorite Events: _________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________
Connecting with Other Horse Lovers
Favorite Events: ____________________________ Favorite Events: ____________________________ _________________________________________ _________________________________________ Favorite Events: ____________________________ Favorite Events: ____________________________ _________________________________________ _________________________________________ _ _________________________________________ _ _________________________________________ _________________________________________ _________________________________________ _ _________________________________________ _ _________________________________________ _________________________________________ _________________________________________ _ _________________________________________ _ _________________________________________ _________________________________________ _________________________________________ _ _________________________________________ _ _________________________________________ _________________________________________ _________________________________________ _ _________________________________________ _ _________________________________________ _________________________________________ _________________________________________ _ _________________________________________ _ _________________________________________ _________________________________________ _________________________________________ _ _________________________________________ _ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________
_________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________
_________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________
Shows/ Competitions
Date: _____________________________________
Location: __________________________________
Event: _____________________________________
Award: ___________________________________
Notes: ____________________________________
__________________________________________
__________________________________________
Notes:________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Away from Home
Date: _____________________________________
Location: __________________________________
Event: _____________________________________
Award: ___________________________________
Notes: ____________________________________
__________________________________________
__________________________________________
Date: _____________________________________
Location: __________________________________
Event: _____________________________________
Award: ___________________________________
Notes: ____________________________________
__________________________________________
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Shows/ Competitions
Date: _____________________________________
Location: __________________________________
Event: _____________________________________
Award: ___________________________________
Notes: ____________________________________
__________________________________________
__________________________________________
Away from Home
Outings/TripsDate: _____________________________________
Location: __________________________________
Event: _____________________________________
Notes: ____________________________________
__________________________________________
__________________________________________
__________________________________________
Outings/TripsDate: _____________________________________
Location: __________________________________
Event: _____________________________________
Notes: ____________________________________
__________________________________________
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Stable Equipment Inventory
________________________________________________________________________ ________________________________________________________________________
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________________________________________________________________________ ________________________________________________________________________
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________________________________________________________________________ ________________________________________________________________________
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________________________________________________________________________ ________________________________________________________________________
Notes: _______________________________________________________________________________________________________________________________________________________________________________________________________________
Stable Management
1. 2. 3. 4. 5. 7. 8. 9. 10. 11. 12.
1. 2. 3. 4. 5. 7. 8. 9. 10. 11.12.
AM PM
WEEKLY MONTHLY
DAILY STABLE CHORESTYPE
SCHEDULED STABLE CHORESTYPE
Personalized Tack Room
________________________________________________________________________ ________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_______________________________________________________________________
________________________________________________________________________ ________________________________________________________________________
________________________________________________________________________ ________________________________________________________________________
________________________________________________________________________
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________________________________________________________________________ ________________________________________________________________________
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________________________________________________________________________
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_______________________________________________________________________
Notes: _________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Grooming / Farrier Schedule
1. 2. 3. 4. 5. 7. 8. 9. 10. 11. 12.
1. Trimmed 2. Shod 3. Reset 4. Coat 5. 7. 8. 9. 10. 11.12.
AM PM
MONTH(S) YEAR
DAILY GROOMING /HOOF CARETYPE
SCHEDULED GROOMING / HOOF CARE TYPE
Notes: _________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Exercise / Training Schedule
1. 2. 3. 4. 5. 7. 8. 9. 10. 11. 12.
1. 2. 3. 4. 5. 7. 8. 9. 10. 11.12.
AM PM
WEEKLY MONTHLY
DAILY EXERCISE / TRAININGDESCRIPTION
SCHEDULED EXERCISE / TRAINING DESCRIPTION
Notes: _________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Nutrition
1. 2. 3. 4. 5. 7. 8. 9. 10. 11.12.
1. 2. 3. 4. 5. 7. 8. 9. 10. 11.12.
S M T W T F S AMOUNT S M T W T F S AMOUNT
S M T W T F S AMOUNT S M T W T F S AMOUNT
AM PM
AM PM
FEEDING SCHEDULETYPE OF FOOD
SUPPLEMENTSTYPE
Water
Salt & Other Needs
Pasture
Shelter
________________________________________________________________________ ________________________________________________________________________
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________________________________________________________________________ ________________________________________________________________________
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________________________________________________________________________ ________________________________________________________________________
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________________________________________________________________________ _______________________________________________________________________
Horse’s Name: Birth Date:
Mare Gelding Stallion Blood Type:____ Resting Heart Rate:____
Allergies:
Important Existing Medical Condition/Issues:
HEALTH RECORD
Past Illnesses / Injuries Treatment Date
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
MEDICAL HISTORY
HEALTH RECORD
Surgery Reason Vet Date
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________ Procedure Reason Vet Date
________________________________________________________________
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________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
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SURGERIES
NON-ROUTINE PROCEDURES
HEALTH RECORD
Type J F M A M J J S O N D Year________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
J F M A M J J S O N D Year
______________________________________________________________
J F M A M J J S O N D Year________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
J F M A M J J S O N D Year________________________________________________________________
________________________________________________________________
________________________________________________________________
VACCINATIONS
COGGINS TEST
MEDICAL EXAMS
DENTAL EXAMS
Tetanus
Influenza
RhinopneumonitisRespiratory EHV4RhinopneumonitisRespiratory EHV1Encephalomyelitis(Sleeping Sickness) Eastern & Western
Encephalomyelitis(Sleeping Sickness) Venezuelan
Strangles
Potomac Horse Fever
Arteritis
West Nile
J F M A M J J S O N D Year________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
J F M A M J J S O N D Year________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
J F M A M J J S O N D Year________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
J F M A M J J S O N D Year________________________________________________________________
________________________________________________________________
________________________________________________________________
WORMING RECORD
WORMING RECORD
MEDICATION RECORD
MEDICATION RECORD
TreatmentProduct:
TreatmentProduct:
TreatmentProduct:
Fecal Exam
TreatmentProduct:
TreatmentProduct:
TreatmentProduct:
Fecal Exam
Medication:
Medication:
Medication:
Medication:
Medication:
Medication:
Animal Clinic/Hospital:
Doggy Day Care:
Poison Control:
Medical Emergency Contact:
Emergency Boarder/Kennel:
Local Animal Shelter:
Dog Sitter:
Dog Sitter:
Dog Walker:
Groomer:
Other:
EMERGENCY PREPAREDNESS
This journal can provide vital information in the event of a natural or man-madedisaster by having a written plan, and keeping all medical records and important contacts readily available in one location. Keep journal up-to date at all times—the time of a disaster cannot be planned!
Horse Identifi cation: ___________________________________________________
___________________________________________________
First Aid /Emergency Supply Checklist
Keep an Evacuation Pack and supplies handy for your animals. Make sure that everyone in the family knows where it is. This kit should be clearly labeled and easy to carry. Items to consider keeping in or near your pack include:
Horse fi rst-aid kit and emergency guide book Always have enough water and hay on hand for a minimum of 48-72 hours.
(Be sure to rotate periodically for freshness. Do not rely on automatic watering systems— power may fail.)
FlashlightWire cuttersTarpaulinsLime, bleachHoof pickPlastic trash barrel with lidWater bucketLeg wrapsFire resistant non-nylon leads and haltersIn waterproof zip-lock bag or container:
Current photo of horse Medical records Emergency contacts 3 day supply of medicine
Optional: Portable generator
Notes:_______________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Animal Clinic/Hospital:
Doggy Day Care:
Medical Emergency Contact:
Emergency Boarder/Kennel:
Local Animal Shelter:
Dog Sitter:
Dog Sitter:
Dog Walker:
Groomer:
Other:
EMERGENCY PREPAREDNESS
Pre-arranged host site in case of evacuation:
_______________________________________________________________________
_______________________________________________________________________
Address: _______________________________________________________________
Phone number: ________________________________________________________
Alternative pre-arranged host site in case of evacuation:
______________________________________________________________________
______________________________________________________________________
Address: ______________________________________________________________
Phone number: ________________________________________________________
Pre-arranged vehicle and trailer arrangements:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Address: ______________________________________________________________
Phone number: ________________________________________________________
Animal Clinic/Hospital:
Doggy Day Care:
Poison Control:
Medical Emergency Contact:
Emergency Boarder/Kennel:
Local Animal Shelter:
Dog Sitter:
Dog Sitter:
Dog Walker:
Groomer:
Other:
EMERGENCY PREPAREDNESS
Emergency route to host location:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Alternative route to host location (In case of fire or flooding):
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Plans in case evacuation is not possible:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Insurance Carrier:
_______________________________________________________________________
Address: _______________________________________________________________
Phone number: _________________________________________________________
Animal Clinic/Hospital:
Doggy Day Care:
Poison Control Hotline:
Medical Emergency Contact:
Emergency Boarder/Kennel:
Local Animal Shelter:
Dog Sitter:
Dog Sitter:
Dog Walker:
Groomer:
Other:
EMERGENCY PREPAREDNESS
Secure area after an emergency
Check soundness of structure/building
Check for downed electrical lines
Check for contaminated water source
Check for secure fence lines in pastures
Check for weather, fl ood or fi re alerts in the area—stay posted.
Links with additional helpful information in case of emergencies:
http://www.marylandhorseindustry.org/disaster.htm
http://www.fema.gov/plan/prepare/livestock
Notes:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
IMPORTANT CONTACTS
Animal Clinic/Hospital:
Address_______________________________________ ______________________________________________ Phone_________________________________________
Medical Emergency Contact: Address_______________________________________ ______________________________________________ Phone_________________________________________
Veterinarian:
Address_______________________________________ ______________________________________________ Phone_________________________________________
Alternate Veterinarian:
Address_______________________________________ ______________________________________________ Phone_________________________________________
Emergency Boarder/Stable:
Address_______________________________________ ______________________________________________ Phone_________________________________________
Alternative Emergency Boarder/Stable:
Address_______________________________________ ______________________________________________
Phone ________________________________________
IMPORTANT CONTACTS
Close Neighbors:
Address_______________________________________ ______________________________________________ Phone_________________________________________
Close Neighbors: Address_______________________________________ ______________________________________________ Phone_________________________________________
Friend willing to care for your horse(s):
Address_______________________________________ ______________________________________________ Phone_________________________________________
Friend willing to care for your horse(s):
Address_______________________________________ ______________________________________________ Phone_________________________________________
Equine Transport / Trailer Companies:
Address_______________________________________ ______________________________________________ Phone_________________________________________
Equine Transport / Trailer Companies:
Address_______________________________________ ______________________________________________
Phone ________________________________________
RESOURCES
Primary Point of Contact 3Company _______________________________________
Telephone: __________________________________________________________________
Fax: ________________________________________________________________________
Website: ____________________________________________________________________
E-mail: ______________________________________________________________________
Address: ____________________________________________________________________
City/State/Zip: __________________________________________________________________
Primary Point of Contact 3Company _______________________________________
Telephone: __________________________________________________________________
Fax: ________________________________________________________________________
Website: ____________________________________________________________________
E-mail: ______________________________________________________________________
Address: ____________________________________________________________________
City/State/Zip: __________________________________________________________________
Primary Point of Contact 3Company _______________________________________
Telephone: __________________________________________________________________
Fax: ________________________________________________________________________
Website: ____________________________________________________________________
E-mail: ______________________________________________________________________
Address: ____________________________________________________________________
City/State/Zip: __________________________________________________________________
Primary Point of Contact 3Company _______________________________________
Telephone: __________________________________________________________________
Fax: ________________________________________________________________________
Website: ____________________________________________________________________
E-mail: ______________________________________________________________________
Address: ____________________________________________________________________
City/State/Zip: __________________________________________________________________
(Food, Horse Supplies, Special Needs)
RESOURCES
Primary Point of Contact 3Company _______________________________________
Telephone: __________________________________________________________________
Fax: ________________________________________________________________________
Website: ____________________________________________________________________
E-mail: ______________________________________________________________________
Address: ____________________________________________________________________
City/State/Zip: __________________________________________________________________
Primary Point of Contact 3Company _______________________________________
Telephone: __________________________________________________________________
Fax: ________________________________________________________________________
Website: ____________________________________________________________________
E-mail: ______________________________________________________________________
Address: ____________________________________________________________________
City/State/Zip: __________________________________________________________________
Primary Point of Contact 3Company _______________________________________
Telephone: __________________________________________________________________
Fax: ________________________________________________________________________
Website: ____________________________________________________________________
E-mail: ______________________________________________________________________
Address: ____________________________________________________________________
City/State/Zip: __________________________________________________________________
Primary Point of Contact 3Company _______________________________________
Telephone: __________________________________________________________________
Fax: ________________________________________________________________________
Website: ____________________________________________________________________
E-mail: ______________________________________________________________________
Address: ____________________________________________________________________
City/State/Zip: __________________________________________________________________
(Food, Horse Supplies, Special Needs)
SERvICE PROvIDERS
Company ___________________Service: ____________________ Primary Contact:_______________________________________________________________
Telephone: ___________________________________________________________________
Address: ______________________________________________________________________
City/State/Zip: __________________________________________________________________
E-mail: __________________________________________Website:______________________
Notes: ________________________________________________________________________
Company ___________________Service: ____________________ Primary Contact:_______________________________________________________________
Telephone: ___________________________________________________________________
Address: ______________________________________________________________________
City/State/Zip: __________________________________________________________________
E-mail: __________________________________________Website:______________________
Notes: ________________________________________________________________________
Company ___________________Service: ____________________ Primary Contact:_______________________________________________________________
Telephone: ___________________________________________________________________
Address: ______________________________________________________________________
City/State/Zip: __________________________________________________________________
E-mail: __________________________________________Website:______________________
Notes: ________________________________________________________________________
Company ___________________Service: ____________________ Primary Contact:_______________________________________________________________
Telephone: ___________________________________________________________________
Address: ______________________________________________________________________
City/State/Zip: __________________________________________________________________
E-mail: __________________________________________Website:______________________
Notes: ________________________________________________________________________
(Horse Boarding, Horse Trailer Rental, Farrier, Groomer, Veterinarian,Trainer, Insurance, etc.)
SERvICE PROvIDERS
Company ___________________Service: ____________________ Primary Contact:_______________________________________________________________
Telephone: ___________________________________________________________________
Address: ______________________________________________________________________
City/State/Zip: __________________________________________________________________
E-mail: __________________________________________Website:______________________
Notes: ________________________________________________________________________
Company ___________________Service: ____________________ Primary Contact:_______________________________________________________________
Telephone: ___________________________________________________________________
Address: ______________________________________________________________________
City/State/Zip: __________________________________________________________________
E-mail: __________________________________________Website:______________________
Notes: ________________________________________________________________________
Company ___________________Service: ____________________ Primary Contact:_______________________________________________________________
Telephone: ___________________________________________________________________
Address: ______________________________________________________________________
City/State/Zip: __________________________________________________________________
E-mail: __________________________________________Website:______________________
Notes: ________________________________________________________________________
Company ___________________Service: ____________________ Primary Contact:_______________________________________________________________
Telephone: ___________________________________________________________________
Address: ______________________________________________________________________
City/State/Zip: __________________________________________________________________
E-mail: __________________________________________Website:______________________
Notes: ________________________________________________________________________
(Horse Boarding, Horse Trailer Rental, Farrier, Groomer, Veterinarian,Trainer, Insurance, etc.)
BOARDING / CARE PROvIDER INFORMATION
Animal Clinic/Hospital:
Emergency Boarder/Stable:
Consent to Seek Veterinary CarePermission to make copies for multiple use.
Full Consent is given to the following individual(s) to seek veterinary treatment for or to accompany my horse to service providers in my absence.
From: (dd/mm/yy)___________________To: (dd/mm/yy) __________________ Treatment / service not to exceed: $ ________________________________Name: _________________________________________________________Relationship to Owner: __________________________________________ Name: _________________________________________________________Relationship to Owner: __________________________________________
Please check all that apply:
Do not notify me; take whatever action necessary to keep my horse(s) alive and comfortable until I return.
Permission granted to call a specialist if injury or illness is grave. Call me for authorization if my horse must be euthanized or to notify me if they die. If euthanasia is in the best interest of my horse and it is the doctor’s opinion that my horse will have no quality of life even if treated, I would want to have them euthanized without notifying me.
In the event that my horse dies or has to be euthanized I would want their remains handled in the following manner:
_______________________________________________________________
_______________________________________________________________
In case of emergencies I can be reached at:_______________________________________________________________
Signature of Owner: _____________________________________________
BOARDING / HORSE SITTER INSTRUCTIONS
My Daily RoutineThings you should know about our horses’s daily routines. Permission to make copies for multiple use or for each horse.
Horse’s Name:__________________________________________________Feeding schedule:_________________________________________________Food:_____________________________________________________________________________________________________________________________Medicine:________________________________________________________Allergies and treatment: ____________________________________________Fresh water:______________________________________________________Off-limit foods:____________________________________________________Favorite treats: ____________________________________________________Daily exercise:___________________________________________________Bath routine:______________________________________________________Play time: ________________________________________________________Favorite spot in pasture: ____________________________________________Favorite toy: ______________________________________________________Favorite game: ____________________________________________________
Things that frighten or make our horse nervous:_________________________________________________________________
Things that make our horse feel secure and relaxed:_________________________________________________________________
Other things you should know about our horse: ________________________________________________________________________________________________________________________________________________________________________________________________________