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University of Minnesota Crookston (University of Minnesota - Crookston)

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University of Minnesota Crookston
Prospective Horse Donation Application
Owner Information
Name:________________________________________________________________________________
Adress:_______________________________________________________________________________
City, State, Zip:_________________________________________________________________________
Phone (Day):________________________________ Phone (Evening):____________________________
Email:________________________________________________________________________________
Best time to contact you:________________________________________________________________
Preferred method of contact:_____________________________________________________________
Horse Information
Barn Name:___________________________________________________________________________
Breed:_______________________________________ Registered: Yes__________ No_____________
Registered Name:______________________________________________________________________
Breed Association & Number:_____________________________________________________________
Age:__________________________ Sex:______________________ Height: ______________________
Please explain the horse’s current uses and past history in depth: (Training, showing, breeding, etc.)
Does the horse have any special needs? (Medications/injections, prior compromising injury, illnesses,
etc.) If yes, please explain.
Shoeing (Yes or No):
Barefoot:_______________
Shod:__________________
Front:__________ Hind:__________ All:__________
Reason for being shod:____________________________________________________________
Diet (Type& amount):
Grain:________________________________________________________________________________
Hay:_________________________________________________________________________________
Supplements:__________________________________________________________________________
Other:________________________________________________________________________________
Does the horse have any vices? (Cribbing, stall weaving, head shy, etc.) If yes, please explain.
Please explain the horse’s medical history:
Please describe the horse’s disposition:
Does your horse have any problems completing these tasks: If yes, please explain.
Clipping:__________ Bathing:__________ Saddling:__________ Bridling:__________
Loading__________ Unloading:__________ Cross-tying:___________
In your opinion, how do you think your horse will handle a setting in a school environment (i.e. multiple
riders/handlers with multiple skill levels, riding in an arena with 10 horses, being pasture with 10+
horses, etc.)
Please explain your reason for your interest in donating your horse:
Additional information/comments:
Please include recent pictures and/or videos of your horse.
** Please note that the completion of this application does NOT assure that your horse will be
accepted by the University of Minnesota Crookston’s Equine Science program. Someone from the
program will contact you regarding this application. Thank you for considering the generous gift of
your horse to UMC.
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Completed 29 August 2020

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