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EQUINE BOARDING INFORMATION

Mission Acres is a family friendly environment with a diverse group of riders covering an array of experience levels and enjoying a variety of riding disciplines. To maintain a relaxed and fun atmosphere, and continue to provide a safe environment for our horses and riders we ask that all boarders complete the following form.

Today’s Date:

RIDER’S INFORMATION:
*If under 18 a parent or guardian must fill out this form and include their contact info.

Name (first and last)

Age

AEF#

*If applicable Name of Parent/Guardian

*If applicable Name & Contact Info for others that may also supervise Rider:

Contact Information

Address:

City

Province:

Postal Code

Email Address:

Cell Phone:

Home Phone

Work Phone

Pertinent Physical or Emotional Limitations

Allergies/Medical Info:

AB Health

Emergency Contact Information

1. Name

Phone Number

2. Name

Phone Number

Riding Experience

Complete Beginner

Beginner

Novice Intermediate

Advanced

Discipline(s)

Dressage

Eventing

Jumping

English Pleasure

Western Pleasure

Other(s)

Goals/Interests

HORSE INFORMATION:
Please note: At this time, Mission Acres is not accepting stallions and pregnant mares.

Name

Years Owned/Leased

Gender

Breed

Age

Tattoos, brands or other identifying marks

Type of Boarding Interested in: Short Term Paddock (more than 1 horse)

Pasture

Are you the sole owner of your horse?

Yes

If no, explain:

Does your horse have any history of colic or other medical problems?

Yes

If yes, explain:

Does your horse experience lameness as a result of previous injury?

Yes

If yes, explain:

Does your horse have any history of behavioral issues (biting, kicking, pulling back when tied, etc.)?

Yes