EQUINE DONATION/LEASE INFORMATION

Our equines at Hearts & Horses are the true heroes of our program. To become one of our four-legged therapists is a great honor, as these equine athletes are chosen with extreme care. The ideal therapy horse is sound, has an unflappable temperament and unlimited heart. Our equines have come from many different backgrounds including the show arena, ranch work, and trail riding. If you have a horse you'd like Hearts & Horses to consider for our program, please read our therapy horse criteria below to see if your horse fits the bill! If you think your horse meets our criteria, please fill out the “Horse Profile” form (attached) and return by fax 970-663-3891 or email Liz de Kock, Equine Manager L iz@HeartsAndHorses.org

Please also email Liz recent photos (taken within the past 30 days) that you have of your horse to include: 1) Side view showing the horse’s back (topline)2) front head shot3) full body showing markings4) any photos of your horse at their “job.”

Hearts & Horses occasionally accepts equines as a donation to our program. More frequently, however, equines are leased on a long-term commitment to Hearts & Horses. As part of a lease, Hearts & Horses is responsible for the highest quality care and maintenance of your horse which includes: three times per day feedings with the highest quality grass hay, Ranch-Way grain, regular psyllium treatments, a comprehensive fitness and training plan, blanketing as needed, all staff handling time required for farrier and routine and/or emergency veterinary needs and turnout seven days per week (weather permitting). The equine owner is financially responsible for farrier and all routine and emergency veterinary expenses (to be paid directly to the veterinarian and farrier).

Each horse considered for Hearts & Horses must:

Be completely sound in all four limbs. It is essential that our horses have a free-moving stride at the walk,trot, and canter and are capable of smooth transitions

Have a solid, strong back and be physically fit

Be well trained under saddle to respond to all four aids: hands, legs, seat and voice

Be unflappable (nothing bothers them)

Have full and complete vision

Be forgiving of an inexperienced/unbalanced/uncoordinated rider Be between 8 and 16 years of age (age exceptions are sometimes made-depending on horse’s

physical/mental condition)

Be comfortable around a variety of people and with other horses at a tie rail or standing aloneIf our Equine staff believes that your horse might be a good candidate for our program, we will ask you to bring your horse to Hearts & Horses for a trial period that will last up to 90 days before officially being accepted into the program. Expenses such as worming, farrier, veterinary (emergency and routine – including vaccinations) will be the responsibility of the horse’s owner during this trial period.Similarly, after satisfactory completion of the trial period, if the horse is leased to Hearts & Horses, Inc, the owner remains responsible for these same costs. Occasionally Hearts & Horses accepts horses as a donation, in which event Hearts & Horses assumes these costs and ownership of the horse.

On behalf of all our riders, thank you for your interest in placing your horse at Hearts & Horses Therapeutic Riding Center. It is only through the generosity of people like you that our riders can achieve remarkable accomplishments and experience the joy of riding a horse.

Date Owner Email

Phone Mailing Address

Address of Horse

How long have you owned the horse? Current brand inspection:☐ Y ☐ N Proof of ownership:☐ Y ☐ N

Registered:☐ Y ☐ N Breed Sex: ☐Gelding ☐Mare

Height Age Weight Color and markings/scars

Past job(s)

On a scale of 1-5, 1 being very calm and 5 being high spirited, how would you rate your horse?

Skills and Characteristics – Does your horse…?

Yes No Comments Neck Rein

Direct Rein

Tie

Lunge

Load in trailer

Stand for farrier

Drive

Lead in hand

Gaited

Canter both leads

Sound at all gaits

Notes

Medical History – Does your horse have any history of…?

Yes No Date Comments Joint Injections

Periods of lameness

Other injuries

Colic

Allergies

Chronic conditions

Medications/supplements

Notes

Horse Profile Horse’s Name

Please complete and return this writable PDF form to our office so that we may begin to learn more about your horse. It can be emailed to Liz@HeartsAndH orses.or g or faxed to 970-663-3891.

Horse Profile (Page 2 of 2)

Routine Veterinary and Farrier Records. Please list the most recent dates for the following:

Rabies (*Required) Flu/Rhino EWT/Encephalitis West Nile (date) (date) (date) (date)

Deworming Product used Neg. Coggins (date) (date)

Teeth Floated Hooves: ☐ Trim ☐ Front shoes only ☐ Front and hind shoes (date) (date)

Other Information to Share about Your Horse:

Behavior in herd

Riding alone

Riding in a group (close to other horses)

Ground Manners

Stable Vices (cribbing/wind sucking/weaving, etc)

Hay/Grain

Turnout/Pasture

Quirks (aggressive feed/herd behavior, doesn’t like traffic, wind, other horses, bucks, kicks, etc)

Additional information you feel is important for us to know about your horse:

Is there a place to evaluate and ride the horse (with good footing) at its location? (arena, round pen?)

Are you able to haul the horse to Hearts and Horses for the horse to be evaluated? (with a Health Certificate)

Why do you want Hearts and Horses to consider your horse for our program?

Please email the following current photos, taken within the past 30 days of the following:

Side view showing the horse’s back (topline) Full body showing markings

Front head shot Other photos of your horse at their “job”

Would you like Hearts and Horses to consider your horse for: Lease Donation

Please email photos along with this form to Liz@HeartsAndHorses.org or fax to our office: 970-663-3891

Thank you for your generosity in considering your horse as a candidate for our program!