Equine Donation Checklist               Date:

Please complete the following questionnaire for each horse donated

 

Donators Name

 

 

 

 

Equine Name

 

Breed/Color/Distinguishing Marks

 

 

 

Age

 

Coggins And Vaccinations Up To Date?

 

Due Dates of Coggins and/or Vaccinations

 

Level Of Training

 

 

 

Describe Animal’s Ability To Be Ridden

 

 

 

Known Vices

 

 

 

 

Describe Any Known Soundness Issues

 

 

 

 

 

Describe Any Known Physical Ailments

And/Or Chronic Conditions

 

 

 

 

 

Any other Pertinent Information Required