SAVANNAH STATION THERAPEUTIC RIDING PROGRAM

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1 POTENTIAL THERAPY HORSE POLICY & PROCEDURES Policy Thank you for considering leasing your horse to the Savannah Station Therapeutic Riding Program. It is the policy of S.S.T.R.P. to accept leases of horses from their owners for the purpose of our Therapeutic Program. Horses accepted into S.S.T.R.P. s program must be mentally and physically healthy and sound, and they must be able to maintain a moderate work schedule. S.S.T.R.P is not a sanctuary for retired horses, nor a rescue organization, but rather a special place where a special type of horse fills a special need. Procedures 1. Upon receipt of the completed Potential Therapy Horse Application, S.S.T.R.P. s Program Coordinator and Barn Manager will review the application. a. If it is determined that the horse may not be a good therapy horse candidate, the owner will be notified and it will be explained as to why we believe the horse may not work for the program. b. If the horse is deemed to be a potential therapy horse candidate, the Program Coordinator and Barn Manager will schedule an evaluation to view and test the horse at its present location. 2. During the evaluation visit, we request that: i. The owner demonstrates or has someone demonstrate how the horse moves under saddle at all gaits ii. The horse must be current on all dental, shots, deworming, hoof care, and have a current negative coggins. (Copies of the records will need to be made available to our staff. iii. The owner demonstrates how the horse loads and unloads from their trailer (if available). iv. The S.S.T.R.P. Program Coordinator and Barn Manager will perform ground and under saddle testing to determine temperament, training, and suitability in the therapy setting. a. In the event that the horse does not pass the evaluation, the owner can reapply at a later time. S.S.T.R.P. s program will be growing and expanding into other areas and it may be possible that the horse that is unsuitable for therapy may be suitable in another aspect of the program. b. If the horse passes the evaluation, he/she may enter the S.S.T.R.P. 90 day evaluation period. i. At that time, the owner will sign a 90 day lease for the horse and provide copies of all medical records, shoeing records, and feeding requirements. ii. The owner will transport the horse to S.S.T.R.P. (if possible). iii. If the horse is on a special feed, supplement, or medication, the owner will provide enough of the feed or supplement to last the 90 day period. 3. If at any time during the 90 day evaluation period, the horse is determined to be unsuitable for therapy or S.S.T.R.P. isn t a good fit for the horse, the owners will be contacted and the horse returned to them. 4. If the horse is determined to be suitable and a good fit for the program, a lease contract will be signed. If the horse needs to retire from therapy work, the owner will receive the horse back. 1

2 POTENTIAL THERAPY HORSE APPLICATION FORM Please fill out the following form completely if you are interested in leasing your horse or pony to Savannah Station Therapeutic Riding Program. In addition to this form, please submit at least one photograph of your horse/pony. Owner Information Owner Name: Address: Home Phone: Cell Phone: Work Phone: Horse/Pony Information Horse/Pony Name: Horse/Pony Breed: Horse/Pony Color: Horse/Pony Age: Height: Weight: Gender: Mare Gelding Stallion How long have you owned this horse/pony? Why have you decided to donate this horse/pony to Savannah Station Therapeutic Riding Program? Current Location: Training Experience Past training/experience: Showing/Competition Experience Showing/Competition Experience: Yes No If yes, please elaborate or attach record if available: 2

3 Can this horse be ridden by: (check all that apply) Children at walk Light/Medium weight riders (walk & trot) Adults at walk & trot Anyone (walk, trot, and canter Is this horse easy to: (check all that apply) Catch/Halter Lead Saddle Bridle Load/Unload in Trailer Tie/Cross Tie Groom/Clip Clean Hooves Worm Bathe Does the horse: (check all that apply) Direct Rein Neck Rein Stand quietly for mounting/dismounting Has this equine been trained or had experience in: (check all that apply) Trail Driving Dressage Competitive Trail Eventing Youth General Western Riding Endurance Barrel Racing Reining English Pleasure General English Riding Jumping Western Pleasure Other: Is this equine currently suitable for or have the potential for: (check all that apply) Trail Driving Dressage Competitive Trail Eventing Youth General Western Riding Endurance Barrel Racing Reining English Pleasure General English Riding Jumping Western Pleasure Other: How often is the horse currently being ridden? If not currently being ridden, why not? When was the equine last regularly ridden? Temperament Temperament: (1-10, 1= Very Quiet, 10= Highly Spirited) Friendliness toward Adults: (1-10, 1= Nasty/Afraid, 10= Very Friendly) Friendliness toward children: (1-10, 1= Nasty/Afraid, 10= Very Friendly) Friendliness toward Horses: (1-10, 1= Nasty/Afraid, 10= Very Friendly) 3

4 Friendliness toward Animals: (1-10, 1= Nasty/Afraid, 10= Very Friendly) Has this equine ever: (check all that apply and explain if yes ) Bucked Kicked Reared Bitten Other improper behavior Trailering Has your horse ever been transported in a horse trailer? Yes No If yes, what type of trailer? Was your horse easy to load in the trailer? Yes No If no, what did the horse do and how did you load him/her? Does your horse back quietly out of a trailer? Yes No If no, how does he/she unload? Care Has your horse/pony ever been on 24 hour turnout: Yes No Turnout needs: In the pasture, is your horse/pony: Alpha Passive Current feed: Current Hay: Current Supplements: Current Meds: Hoof care: Barefoot Front Shoes Only Shoes on all 4 Special Shoes Last worming/type: Last teeth floating: Last vaccines: Last Coggins: History of Founder/Colic: Yes No If yes, explain: Signs of Cushings or other metabolic diseases? Yes No If yes, explain: Cribber or Weaver: Yes No If yes, explain: Any past injuries that required treatment from a vet? Yes No If yes, explain: 4

5 Any pre-existing health conditions, issues, or inuries? Yes No If yes, explain: Name of current vet: Phone Number: Name of current farrier: Phone Number: Please include the name of one reference who has trained, ridden, shown, boarded or leased this horse/pony: Is there anything else you can tell us about the horse that will enable us to better evaluate him/her: Mail this application to: Savannah Station Therapeutic Riding Program Attn: Program Coordinator P.O. Box Yukon, OK

6 VET CHECK LETTER Please give this form to your veterinarian for completion. Horse/Pony Name: Owner Name: Date of last dental exam/float: Date of last shots given and type: Date of last dewormer given and type: To be completed by licensed veterinarian only: Horse s Weight: Height: Age: Comments on: Eyes: Back: Legs/Hooves: Teeth: Overall Condition: How long have you known this horse? To the best of your judgment, do you believe that this horse would be suitable in the therapeutic riding program at Savannah Station Therapeutic Riding Program? Although we are a therapeutic riding program, all of our horses must be sound at the walk, trot, and canter, be in good health, be able to comfortably carry 15-20% of their body weight, and be able to do moderate work 3-5 days a week. Veterinarian s Name (printed): Signed: Date: Phone Number: Practice: Mail this application to: Savannah Station Therapeutic Riding Program Attn: Program Coordinator P.O. Box Yukon, OK