Equine Surrender Request If you have a horse you are no longer able to care for, we are here for you Equine Surrender Request Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAre you able to transport? *YesNoWhere is the animal located? (exact physical location for pickup) *Physical location of the animal. Could be coordinates, Google maps link, something we can use to find the horse if we need to pick him/her up.Are you able to cover the cost of transport? *YesNoAnimal Type *HorseDonkeyMuleOtherAnimal Name *Gender *FemaleMaleUnknownIs he a gelding or stallion? *GeldingStallionIs it possible she could be pregnant? *YesNoHas she ever been bred? *YesNoUnsureYear of birth (if not known, approximate) *Breed *Height *Registration Number if applicablePlease provide any registration papers at the time of surrenderColour and markings *Is this equine rideable? *YesNoUnsureHas this equine ever received any professional training? *YesNoUnsurePlease detail any training, experience, riding discipline details hereHas this equine ever injured anyone? *YesNoUnsurePlease explain the circumstances *Does this equine have any habits that may create harm to other horses or people or cause damage to the facility? *YesNo(i.e. kicks, bites, rears, bucks, cribs, etc.)Please detail the issues *Reason for surrender *Is this equine sick or injured?YesNoIf sick or injured, please detailHas this equine been exposed to any contagions or displayed any symptoms within the last 45 days? *YesNoUnsurePlease details the symptoms and/or exposure *Does this equine have a current coggins test? *YesNoUnsureIf yes, please have the coggins test results when surrendering the equine.Does this equine have any conditions restricting it's feed, bedding, turnout or any other care or maintenance? *YesNoUnsure(i.e. founder, EPM, allergies, etc.)Please explain the conditions and restrictions required *Is this equine accustomed to pasture turnout? *YesNoUnsureCan this equine be turned out with a herd? *YesNoUnsureDoes this equine act aggressively with any other breed, gender or age of equine in a herd? *YesNoUnsurePlease explain what causes aggression in this equine *Does this equine stand well for veterinarian and farrier? *YesNoUnsureDoes this equine lead well with a halter and lead rope? *YesNoUnsureDoes this equine load and trailer well? *YesNoUnsureAny other known history you would like to sharePlease provide vaccination / care dates:Please have vaccination records ready to surrender with the equine. EncephalomyelitisTetanusRhino-FluRabiesWest Nile VirusDewormingHoof CareDental CareRequired Vet ServicesRegular VaccinationsDewormingCoggins TestLice/Mite TreatmentMedical CareRabies VaccineAnimal Image Click or drag a file to this area to upload. Do you certify that all information provided on this form is true and accurate?YesNoSubmit