RED Arena Equine Screening Form

RED Arena

a 501c3 non-profit corporation www.redarena.org
Equine Screening Form
Owner Contact Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone

Area CodePhone Number
Work Phone

Area CodePhone Number
E-mail
Equine Information
Name of Equine:
Barn name or nickname?
Breed of Equine
Is the Equine registered?

YesNo
If so, with what registry?
Registration Number:
If the equine has a lip tattoo or brand, please describe:
Color of equine?
Markings on equine?
Age:
Height:
Weight:
Gender:
Name of Dam (if known):
Name of Sire (if known):

Temperament

	1	2	3	4	5	6	7	8	9	10

1 is Very Quiet, 10 is Highly Spirited

Friendliness towards adults

	1	2	3	4	5	6	7	8	9	10

1 is Nasty or Afraid, 10 is Very Friendly

Friendliness towards children

	1	2	3	4	5	6	7	8	9	10

1 is Nasty or Afraid, 10 is Very Friendly

Friendliness towards horses

	1	2	3	4	5	6	7	8	9	10

1 is Nasty or Afraid, 10 is Very Friendly

How long have you owned this equine?
Why are you selling, leasing or donating this equine?
How often is the equine currently being ridden?
If not currently being ridden, why not?
When is the last time the equine was being ridden regularly?

MonthDayYear
This equine can be ridden by:

ChildrenAdultsRiders over 200 lbs (not exceeding 250 lbs)
This equine has been trained in or has experience competing in:

Trail (competitive)EnduranceEnglish PleasureWestern PleasureDrivingEventingBarrel RacingJumpingDressageReiningYouth ClassesGeneral Western RidingGeneral English RidingAdult LessonsYouth Lessons
Describe any competitive experience this equine has:
Has this equine ever:

KickedBittenBuckedReared
Please describe details of the above behavior or any other improper behaviors:
Does this equine have any stable vices such as kicking, cribbing, weaving, etc? Please describe:
This equine is easy to:

Catch/halterLeadTieLoad, Unload, TrailerGroomClipBridleSaddleClean FeetWormStand quietly for mounting/dismounting
Please describe any additional information about difficulty with the above tasks:
Type of bit used

Snaffle BitCurb BitDouble BridleBosal/Hackamore/Bitless Bridle
Type of mouthpiece on bit

Single JointDogbone/lozenge/double jointMylerMullen Mouth/straight barTwisted wireLow portHigh port
Does horse:

Direct reinNeck rein
Describe any current or previous lameness problems:
Describe any current or previous health problems:
Does this horse require any special maintenance (supplements, medications, corrective shoeing, etc)?

YesNo
Please describe:
Does the equine have any other special needs?
Is the equine current on vaccinations?

YesNo
If so, which and when?
What is the date of the equine's most current coggins test?

MonthDayYear
What is the date of the last time the equine's teeth were floated?

MonthDayYear
What is the equine's schedule for teeth floating?
When was the equine last wormed?

MonthDayYear
What is the equine's worming schedule and wormer?
What is the date of the equine's last farrier visit?

MonthDayYear
What is the equine's schedule for trimming and shoeing?
Does the equine wear shoes?

YesNo
If so, what kind and why?
What kind of housing situation is the equine used to?
What and how much is the equine currently being fed?
Does the equine receive supplements?

YesNo
If so, what kind and why?
Does the equine receive medications?

YesNo
If so, what and why?
RED Arena 1601 Bell Springs Rd Dripping Springs, TX 78620 512-807-6505
Should be Empty:

RED Arena

Equine Screening Form

Owner Contact Information

Equine Information

RED Arena 1601 Bell Springs Rd Dripping Springs, TX 78620 512-807-6505