NameThis field is for validation purposes and should be left unchanged.Owner InformationFull Name(Required) First Last Phone Number(Required)Email Address(Required) Address(Required) Street Address City State ZIP / Postal Code Emergency Contact Name(Required)Emergency Contact Phone(Required)Horse InformationHorse NameRegistered Name (if applicable)BreedColor / MarkingsEstimated AgeSex Mare Gelding Stallion Height (Hands)Weight (Approximate)Microchipped yes no Stallion yes no Temperament (check all that apply) Calm Nervous Dominant Food Aggressive Kicker Biter Herd Bound Other Other Temperament NotesAny prior injuries or medical conditionsSpecial handling instructionsBoarding Type SelectionPlease select desired boarding option Heated Box Stall with Individual Run Heated Box Stall (No Run) Pipe Stall with Individual Run Pipe Stall with 3-Sided Loafing Shed Pipe Stall with 4-Sided Loafing Shed Turnout Only (Boarding) Temporary / Short-Term Boarding Additional Services Requested Breakfast Feeding Dinner Feeding Lunch Feeding (Additional Fee) Daily Mucking Turnout Service Horse Walker Blanket Service Medication Administration Training Program Trailer Parking Tack Locker Feed & Care InstructionsFeed TypeSupplementsFeeding ScheduleSpecial Diet RequirementsFarrierVeterinarianVaccinations Current?(Required) Yes No Date of Last Coggins Test MM slash DD slash YYYY Emergency AuthorizationIn the event of illness or injury, Starlight Equestrian Ranch is authorized to: Contact Owner First Call Veterinarian Immediately If owner cannot be reached, Ranch may secure veterinary care at owner’s expense.Owner InitialsLiability AcknowledgmentOwner acknowledges: Horses are kept at owner’s risk Ranch is not responsible for illness, injury, theft, escape, or death Owner is responsible for insurance coverage on horse Owner assumes all risks associated with boarding Owner agrees to comply with Ranch rules and maintain respectful conduct.Owner Initials(Required)Boarding TermsBoarding Start Date: MM slash DD slash YYYY Monthly Board Rate: TBD Security Deposit (if applicable): TBD Payment Due Date: 1st of each month, 30 Day Proration. Late Fee Policy: 10 Days grace period, after the 10th day the late fee is $50.00 30-Day Notice Required for TerminationOwner InitialsAgreement & SignatureConsent(Required) I certify that all information provided is accurate and complete.(Required)Consent(Required) I agree to the boarding terms and ranch policies.(Required)Owner Signature(Required)Printed Name(Required)
