Seller Application & Horse Information Questionnaire

Owner Information *

First

Last

Address *

City *

State *

Zip *

Phone Number *

Driver's License Number *

E-mail *

Please enter your email, so we can follow up with you.

Horse's Name *

Is your horse a Mare, Gelding or Stud? *

Mare
Gelding
Stud

Breed *

Age *

Height *

Color and Markings *

Coggins Date *

Is the horse registered and if yes, what registries? *

Does this horse stand tied? *

Yes
No

Does this horse load into a trailer? *

Yes
No

Does this horse lead? *

Yes
No

Does this horse stand to be bathed and groomed? *

Yes
No

Does this horse stand for the farrier? *

Yes
No

Is this horse trained to ride? *

Yes
No

What style of riding is your horse trained for? *

Western
English
None

What type of riding has this horse primarily been used for? *

If other explain

Is/was your horse ridden regularly? *

Yes
No

If yes, how often?

When is the last time your horse was ridden? *

What skill level rider do you think your horse requires? *

Beginner
Intermediate
Experienced
Not Sure

Is this horse trained to drive?

Yes
No

If yes, please describe the type of driving/pulling this horse has been trained for: *

Please list any special qualities or training your horse has:

Bad habits or behavior: Please check any problems that apply. *

If other, explain.

If your horse is kept in a pasture or lot with other horses, what is its position in the herd? *

Dominant
Mid-range
Low range
Not sure

Disclosure of past health issues: Has your horse ever had any of these symptoms and if yes please explain: *

If other, explain. If any of the symptoms checked above are on-going or recurrant health or lameness issues, list what they are and how often they occur.

How were these issues treated?

Are there vet records related to the treatment of these issues?

Yes
No

Have any x-rays been taken related to these issues?

Yes
No

If yes, will the x-rays be made available to the buyer?

Yes
No

Does your horse have any special needs or require any regular medications? *

What feed/grain is your horse currently eating?

How much feed/grain do you give per feeding?

Do you feed supplements? *

Yes
No

If yes, what supplements?

How many times a day do you feed? *

Where does this horse spend most of its time? *

Grass Pasture
Dry Lot
Stall

Did your horse receive any vaccinations this year? *

Yes
No

If yes, when were they given, what date and what vaccines?

Have you had your horse's teeth floated? *

Yes
No

If yes, when was the last time it was done?

Please list veterinarians who have treated your horse in the past:(Name and Phone Number)

Vet Medical History Confirmation: Do you give consent for the new owner to contact the above listed veterinarians for medical history only? *

I Do
I Do Not

Photos and video are required to help determine that your horse is sufficiently trained to ride or drive to be included in The Safe Horse Auction. The horse should be clean and well-groomed if possible because these photos and video will also be used in the on-line sale catalog and advertisements. Several short video segments will send easier than one long one. (If the video is too long to attach in an email, it is recommended that you post it to YouTube or some similar service and send us the link to the posted video.) Photos that are needed are conformation shots (show entire body including legs and feet) taken with no tack other than halter & lead: Full view from both sides, front and back. Riding videos should show all of the following: Horse being mounted and ridden off; being ridden at walk, trot & canter, and then transition back to walk (or walk/gaits/walk if a gaited horse); stop, back, stand, dismount. Additional photos of horse in motion, head shots, or being ridden....and video showing other special talents/training of the horse are welcomed for promotional purposes. Submit to TheSafeHorseProject@gmail.com

I will submit the required photos & video.
I am unable to provide photo and video and wish to arrange for Trainer Evaluation to determine training level and take photos/video.

Bid Acceptance Options: Bid Acceptance Form must be on file in the Sales Office no later than the conclusion of bidding (3 p.m.) on the day of the sale. If no Bid Acceptance Form is returned, the Sales Office will follow the Safe Horse Sales Policy as outlined on The Safe Horse Project website.

THIS IS A NO RESERVE, SEALED BID AUCTION. The standard minimum opening bid for horses will be $300 for horses, $150 for ponies, and $100 for minis & donkeys unless the Seller specifies a higher or lower opening bid. Careful consideration should be given to the opening bid level – too high might discourage bidding and result in no sale. The opening bid that you list should be the absolute lowest price that you will accept for this horse. Do you, as Seller, wish to alter the minimum opening bid on this horse? *

Yes
No

If yes, what opening bid do you request?

Agreement to Safe Horse Auction Terms and Owner Certification: By signing this questionnaire, you are stating that you have answered all questions truthfully and to the best of your knowledge, and that you agree to The Safe Horse Auction policies as stated in The Safe Horse Project website. Your signature also certifies that you are the legal owner of the subject horse, with no encumbrances that would prevent its sale or surrender. The Safe Horse Project has the right to deny anyone sale of a horse or pony at The Safe Horse Auction based on a formal review of these questions. Signature Name: *

Date: *

The information supplied in this application will be reviewed and someone will be in touch promptly. Thank you for applying to enter your horse in the Safe Horse Auction and helping it have the best possible chance at finding a safe home!