SAVANNAH STATION THERAPEUTIC RIDING PROGRAM Mailing: P.O. Box 852084 Yukon, OK 73085 Physical: 9304 N. U.S. Hwy 81 El Reno, OK 73036 HORSE DONATION POLICY & PROCEDURES Policy Thank you for considering a donation of your horse to the Savannah Station Therapeutic Riding Program. It is the policy of S.S.T.R.P. to accept donations 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 Horse Donation 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 donation contract will be signed and ownership of the horse will transfer to S.S.T.R.P. If the horse needs to retire from therapy work, the owner will get first right of refusal to take the horse back. Rev. 1/17/17 SAVANNAH STATION THERAPEUTIC RIDING PROGRAM Mailing: P.O. Box 852084 Yukon, OK 73085 Physical: 9304 N. U.S. Hwy 81 El Reno, OK 73036 HORSE DONATION APPLICATION FORM Please fill out the following form completely if you are interested in donating 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: _________________ Email: ________________________________ 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: _____________________________________________________________________________________ _____________________________________________________________________________________ Rev. 1/17/17 SAVANNAH STATION THERAPEUTIC RIDING PROGRAM Mailing: P.O. Box 852084 Yukon, OK 73085 Physical: 9304 N. U.S. Hwy 81 El Reno, OK 73036 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 ___ Tie/Cross Tie ___ Groom/Clip ___ Clean Hooves ___ Load/Unload in Trailer ___ 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 ___ General Western Riding ___ Endurance ___ Barrel Racing ___Reining ___ General English Riding ___ Jumping ___ Youth ___English Pleasure ___Western Pleasure ___ Other: ___________________________________________________________________________ Is this equine currently suitable for or have the potential for: (check all that apply) ___ Trail ___ Driving ___ Dressage ___ Competitive Trail ___ Eventing ___ General Western Riding ___ Endurance ___ Barrel Racing ___Reining ___ General English Riding ___ Jumping ___ Youth ___English Pleasure ___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) Rev. 1/17/17 _________________________ SAVANNAH STATION THERAPEUTIC RIDING PROGRAM Mailing: Physical: P.O. Box 852084 9304 N. U.S. Hwy 81 Yukon, OK 73085 El Reno, OK 73036 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 In the pasture, is your horse/pony: Alpha No Turnout needs: _____________ 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 Cribber or Weaver: Yes No If yes, explain: ____________________ If yes, explain: ________________________________________ Any past injuries that required treatment from a vet? Rev. 1/17/17 No Yes No If yes, explain: ______________ SAVANNAH STATION THERAPEUTIC RIDING PROGRAM Mailing: Physical: P.O. Box 852084 9304 N. U.S. Hwy 81 Yukon, OK 73085 El Reno, OK 73036 _____________________________________________________________________________________ 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 852036 Yukon, OK 73085 Rev. 1/17/17 SAVANNAH STATION THERAPEUTIC RIDING PROGRAM Mailing: P.O. Box 852084 Yukon, OK 73085 Physical: 9304 N. U.S. Hwy 81 El Reno, OK 73036 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 852084 Yukon, OK 73085 Rev. 1/17/17
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