Form - Charlie Hutton Equestrian

Charlie: +447836255730
www.charliehutton.net
E-Mail: hutton_charlie@hotmail.co.uk

Livery Information Form

Customer Information

Name

Address

Date

Contact number

Emergency (if different)

Horse Details

Name

Age

Colour

Sex

Height

Weight

Body condition

Microchip number

Date and time of arrival

Length of stay

Date last vaccinated

Date last shod

Date last had the dentist

Date last wormed

Behavioural concerns (ie girthy, sharp etc)

Does the horse have any vices?

YES NO

Does the horse do anything mentioned below?

Crib bite

YES NO

Weave

YES NO

Wind Suck

YES NO

Nap

YES NO

Jump out of fields

YES NO

Kick

YES NO

Bite

YES NO

Rear

YES NO

Bolt

YES NO

Rip Rugs

YES NO

Is the horse good to clip

YES NO

Good to load

YES NO

Any other vices?

Has the horse ever injured anyone whilst being ridden or handled: (if yes please give details)

Please give details of all veterinary treatments within the last 2 years

Feeding routine

Any nutritional concerns?

Veterinary surgeon/Sports Vet: (CH Equestrian normally use their own local practice - please specify if you wish us to use your own vet, giving their name, address, email and telephone number)

Daily management of the horse

Stable type

Bedding used

Stabled hours/Day

Turn out

Details of the horse’s exercise program at present (Type of training, Frequency in a 7-day week, Duration of training)

Schooling/training - Frequency in a 7-day week

Schooling/training - Duration of training

Fitness training if applicable (gallops) - Frequency in a 7-day week

Fitness training if applicable (gallops) - Duration of training

Polework - Frequency in a 7-day week

Polework - Duration of training

Horse walker - Frequency in a 7-day week

Horse walker - Duration of training

Lunging - Frequency in a 7-day week

Lunging - Duration of training

Hacking - Frequency in a 7-day week

Hacking - Duration of training

Turnout - Frequency in a 7-day week

Turnout - Duration of training

Other(treadmill) - Frequency in a 7-day week

Other(treadmill) - Duration of training

Training Issues

What does the horse do well?

What does the horse find difficult?

Is there a difference between the 2 reins?

Past Experience

Purpose of Schooling

Tack

Rugs/Blankets other kit left

Terms and Conditions

All long term liveries please note due to passport legislation you must ensure you leave your horse’s passport & vaccination certificate with us.

• We ask that all horses have their bloods taken to check for infectious disease such as Strangles and EHV. This is not only for own horses welfare but also your own. CH Equestrian prides themselves on biosecurity. • The yard shall at all times during the Term provide the Services in an efficient and professional manner which meets the welfare needs of the horse and in so doing will exercise all the skill, care and diligence that might be expected of a competent professional yard. • The Owner shall observe any rules or requirements relating to those premises as notified to the Owner by the CH Equestrian. • I understand that unless caused through CH Equestrian’s negligence or that of CH Equestrian’s employees, and except as imposed by statute, CH Equestrian and its employees shall not be liable for any injury, illness or death to me or my horse, or for any loss of or damage to my personal property however caused. • I understand CH Equestrian is not responsible for the negligence of veterinary surgeons or farriers attending the yard and that if I have any dispute with the above then this will be taken up directly with them. • I warrant that my horse is in general good state of health and free from any infectious diseases. • I authorise CH Equestrian to call out a veterinary surgeon to attend my horse when is deemed necessary. • I authorise CH Equestrian to consent on my behalf to such examination, diagnostic tests, and treatment, as the Veterinary Surgeon considers necessary. • In the event of a serious illness or injury I consent to referral of my horse to a specialist centre if required and I accept that a copy of this form will be given to the Veterinary Hospital as evidence of that consent. • I authorise the Veterinary Surgeon attending my horse to disclose to CH Equestrian the results of any examinations or tests carried out, in so far as they may be relevant to the health and well-being of my, or any other horse on the premises. • I will ensure that no children under the age of 16 years are brought onto the premises of the yard unless under supervision of the Owner at all times. • I undertake to pay any Veterinary or medical fees incurred in treating any illness or injury to my horse however caused. • I understand that singing this form does not affect my statutory rights. • I understand that this form becomes the basis of the contract between myself and CH Equestrian.

Fees, and terms of payment and financial matters.

• In consideration for the provision of the Services the Owner will pay to CH Equestrian the fee and any additional sums due under this Agreement. • In the event that the fee or any additional sum due under this Agreement remains unpaid for more than 6 months after they first become due, the Owner agrees that CH Equestrian may sell the Horse, provided that written notice has been given to the Owner (at the address set out at the beginning of this Agreement) of the intention to sell, at least 7 days before sale. From the monies received from the sale of the Horse, the CH Equestrian may retain such sums as cover of any unpaid sums due under this Agreement and the reasonable costs of sale. Any remaining money shall be returned to the Owner within 30 days of sale. • This Agreement shall last for the Term, subject to earlier termination in accordance with this Agreement. • CH Equestrian or the Owner may at any times terminate this Agreement or any part of it by giving written notice to the other of not less than the 30 day Notice Period.

General.

No amendment of the terms of the Agreement shall be valid or binding unless made by prior written agreement between CH Equestrian and the Owner. •This Agreement shall in all respects be governed by and construed in accordance with English law and the parties hereby submit to the exclusive jurisdiction of the English Courts. •If for any reason you are unhappy, or wish your horse not to appear in any of our promotional/social media material please let us know immediately by email or by telephone.

Please tick box to accept the above terms and conditions.

I accept the above terms and conditions