The Pet Shepherd Horse /Farm Pet Profile

The (Company Name) Horse /Farm Pet Profile

Client Name: ______Address______

Horse ______M / F Name ______Friendly Y N

Other______M / F Name ______Friendly Y N Other ______M / F Name ______Friendly Y N Description: ______Age ______Weight ______Hands High ______Shod?______Is this animal altered? Y N Prone to Colic? Y N Afraid of Storms Y N Veterinarian ______Phone Number______Farrier ______Phone Number______Acts toward farrier______Special Notes on Gait/Way of Going, Stable Behavior______Attitude to Strangers: Check all that apply: ___ Spooky __ Excited __Friendly __Aloof __Cautious __Mean __ Stubborn ___ Prone to Kick ___ Head Shy __ Rears __ Shys

Has this animal ever kicked or bitten or a cted aggressively towards anyone Y N If yes explain______Easy to Halter?______Lunge? ______Easy to load? Y N ______Trailers well? Y N Unloads Well? Y N

Comes up from the pasture when called? Y N If No Likely to be where?______Treat(s) Allowed? Y N Carrots? Apples? ______Green Grass?______

Words that are used regularly: ______Feeding Instructions: ______Other Care Instructions: ______

**Does anyone have permission to ride in your absence?______

Physical Conditions or Problems to be alert for: ______

Any contagious illness? ___Yes ___No If yes give details______We ask the above question solely to be able to protect our other client's pets as well as our own with extra care and preventative measures while handling your pets and ours.

I certify that all of the above is correct to the best of my knowledge, and that I will notify (Company Name) of any changes to the above prior to the start of any Service Period.

______Client Date (Company Name)

This signed document is authorization to enter the above address for the purpose of pet care or home security checks. ** (Company Name) will not be held responsible for horse, or rider if others have access to this horse whether riding or feeding . ______