Mount Holyoke College :: Boarder Application

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Boarder Application

We are interested in riders of all levels and interests!

Submit this application by April 15 for fall semester board consideration.

I. Personal Information
* indicates required fields

1.	Name (first/last) *
2.	Date *
3.	Home Address
	Street *
	City
	State
	Zip
	Country (Other than US)
4.	Home Phone *
5.	Home Email
6.	Cell Phone
7.	How many years have you ridden? *
8.	How many years have you been a horse owner? *
9.	So that we may get to know you better please, write on why it is important to have your horse at the Mount Holyoke College Equestrian Center.*
10.	You may also send a video (see address below).

II. Emergency Contact

1.	Who may we contact in case of an emergency concerning your horse?
	Name *
	Relation to you *	parent horse's owner friend/relative
	Address *
	Phone *
2.	Equine Insurance Company
	Phone
	Policy Number
3.	Instructions in case of emergency when a decision about the horse’s welfare is needed but no one listed above is available.*

III. Owner of Horse (if different from above)

1.	Name
2.	Phone

IV. Horse Information

1.	Horse Name *
2.	Sex *	Mare Gelding
3.	Color *
4.	Year Foaled *
5.	Height *
6.	Breed *
7.	What type of riding do you do with your horse? *
8.	At what level do you ride? *

V. Vaccinations

1.	We require that your horse be vaccinated with the following vaccinations within one year of coming to board at Mount Holyoke College Equestrian Center. Please indicate dates of vaccinations your horse has received in the last year.
	EWT *
	Rabies *
	Flu/Rhino *
2.	We strongly recommend:
	West Nile
	Potomac

VI. Coggins Test and Health Certificate

1.	We require a negative Coggins test within 6 months for out of state horses and within one year for horses residing in Massachusetts. Please bring a current Coggins Test and Health Certificate with you when your horse arrives.

VII. Parasite Control

1.	Once a member of our boarder community, your horse will be placed on the stables’ worming schedule. You have two options, please choose which option you would like: *
		Option A: You may provide a daily wormer at your own expense (i.e. Strongid C).
		Option B: We will deworm your horse every 6 weeks on a rotation that is recommended for the Northeast by our veterinarian. (Each deworming incurs a $15 charge.)

VIII. Behavior

Please check off yes or no to the following questions:

1.	Does your horse:	Yes	No
	Crib? *
	Wood chew? *
	Weave? *
	Stall walk? *
	Kick the walls? *
	Paw / Dig? *
	Fence walk? *
	Need a chain shank? *
2.	If you answered “yes” to any of the above please provide a more thorough description of your horse’s behavior:

3.	Is your horse:	Yes	No
	Friendly? *
	Easy to handle? *
	Good with others *

IX. Remember

Send: check, first month’s board of $625, and video (not required) to:

Paula Pierce
Mount Holyoke College
Equestrian Center
50 College St.
South Hadley, MA 01075

Board check should be made out for $700.00. This board application is due April 15, 2008 and the application will be for fall semester 2008.

Please note that board application assumes you are willing to commit to boarding for at least the entire fall semester.

Questions? Call Paula (413) 538-2272

Copyright © 2007 Mount Holyoke College • 50 College Street • South Hadley, Massachusetts 01075.
To contact the College, call 413-538-2000.
This page maintained by the Equestrian Center. Last modified on May 23, 2007.