Your Name: Work Phone: Home Phone: Cel:
Your Address: Email:
Your Horse's Name: Breed: Registration # if any:
Your Horse's Date of Birth: Package 1, 2, 3 Please circle one.
Currently Shod: Yes or No (
If no, there will be a $65.00 fee to trim and shod.)
If you are not sure how your walking horse should be trimmed or shod, please speak to us first. Correct Angles and shoes do make a difference. The angles are very different from that of a Quarter Horse or Thoroughbred.
Specific Problem Areas with Horse that you would like to see corrected:
Goals with Horse: How long have you owned your horse?
Your Horse's Vet & Phone Number:
List any health issues:
Is your horse prone to Collic? What type of feed and Protein % is your horse currently on?
Is your horse current on all vaccinations? (List)
*A current Coggins certificate is required upon the arrival of your horse.
*Please bring the bit and bridle your horse is currently accustomed to along with your horse.
While the bit may be changed, we would like to work your horse with this bit initially.
I, _______________________________________________, (please print your name), as owner of the horse above, fully understand, authorize, and assume any risk to the horse above assoicated with training. I fully understand that there are acts of God which the trainer has no control over and understand horses can and do become injured sometimes during the normal course of training due to no fault of the trainer. Should my horse receive any injury or become ill while under the care of Camelot Wilderness Ranch also referred to as CWR, I understand that I will be contacted as soon as possible. If Camelot deems that medical attention is necessary, I consent and authorize Camelot to contact the above vet and if not available, the stable vet. I understand that every precaution is taken to protect the horse from illness, injury, fire, theft and death and that Camelot Wilderness Ranch, its executors, owners, employees, and heirs, shall not be held liable as long ordinary, reasonable care is exercised. I agree that Camelot Wilderness Ranch or any person associated with same will be held harmless for any and all damages associated herewith. I understand that the costs of requested training, requested shoeing and training, requested or emergency vet services, requested worming, emergency or requested transporting, or any miscellaneous expenses associated with my horse are my responsibility. I understand that I must pay 4 weeks in advance and will be billed monthly thereafter to be paid on the 10th of each month. Should my horse graduate before completing the current month paid, I will receive a prorated refund upon retreival of my horse. I understand that a finance charge computed at 10% simple interest will be applied to my account balance should it become past due 30 days. I agree to pay any and all collection fees and legal fees should any litigation become necessary. I also understand that if CWR enrolls my horse and perceives it to be a danger to its trainer (s), or for some other reason cannot continue with the training of my horse, I will be notified to pick up my horse and will receive a prorated refund of the fees I paid based on the actual amount of time my horse was in training and or boarded with CWR.
Your Signature:______________________________________________Date:_______________________