APPENDIX B
HORSE REGISTRATION
Horse Name
Height
Sex:- Stallion Gelding Mare
 Age - (Must be over 4 years of age)
Livery Type
Breed
Colour
Reg/Passport No
Holiday/Leave out Arrangements
What arrangements will be made for the horse during holidays & weekends away?
 Livery at QE Take Home
Other (please state)
Extras
Do you require any extra facilities?
 Deep Bed A.M. muck-out Full Livery
GUARANTEED EXTERNAL LOOSE BOX
I require a guaranteed external loose box
(otherwise an internal one is allocated)
Yes        No
Vaccinations/Insurance
When is vaccination due?
Name of Insurance Company
Registration/Affiliation
Is the horse registered/affiliated?
 Yes No
Membership No:
Group Registered with:
 HTG D BSJA E BSPS
Health
Has the horse had any injuries/health problems which we should be aware of:
 Yes No
If yes to above please give details:
Do you have any special requests concerning care of horse?
 Yes No
If yes to above please give details:
Turnout in Paddocks/Fields/Sand Arena
Daily Overnight Live out
Once/Week  
Alone With Company
Vets/Farriers Bills
I give my permission for the Vet or Farrier to be called out on my behalf and to be billed direct to me. I also give my permission for extra bedding to be recharged to the account.
email address
(* please use your valid e-mail address -
without this, the form will not be transmitted to us)
 *
Telephone Number
Parents Name
Name of Child