Crane Canyon Equestrian Center
CCEC BOARDING APPLICATION
1971 Crane Canyon Road, Santa Rosa, CA 95404 (707) 732-1203
Please tell us a little about you, your horse(s) and your boarding and horse care needs.
You can email your application to and we’ll get back to youpromptly.
If you’d like to return this application in person, give us a call or email and we’d be happy to set a time to meet you!
How did you hear about CCEC?______
1. Boarder Information
Name: ______
Home address: ______
Home phone: ( ) ______Work phone: ( ) ______
Cell phone: ( ) ______E-Mail Address: ______
Employer: ______
Work address: ______
California Driver’s License______
Preferred method of communication:___Email ___Cell ___Home Ph ___Work Ph
2. Your Horse/s
Total number of horses you own:____
Number of Horses to be Boarded at CCEC_____ (Please complete horse information for additional horses at the end of this application)
Name of your horse (1) ______
Check one: ____Gelding ____Mare (we do not accept stallions at this time)
If your horse is a mare, is she in foal? Yes / No (circle one)If yes, please specify approximate foaling date: ______
Do you expect that your mare will deliver her foal at this facility? Yes / No (circle one)
Color and markings: ______
Year foaled______Current age______
Breed, breed registry and reg. #: ______
Tattoos, brands or other identifying marks: ______
Are you the sole owner of your horse?
If not, please explain: ______
If the horse is leased, or on payment terms, a copy of the contract must be providedwhen submitting this form and Legal Owners Information must be filled out below.It the horse has been acquired within the last year please provide the previous ownerscontact information below.
Name of Previous or Legal Owner: ______Years Owned: ______
Address: ______City: ______State:__ Zip: ______
Email Address: ______Cell Phone: ______
Home Phone: ______Wk Phone: ______
3. Background
What type of horsemanship or horse training do you follow? ______
How many years of experience have you had with horses and of what kind – owner, trainer, competitor, professional?
______
______
What are your current horse goals and interests? Are you interested in working with a trainer?
______
______
4. Current Boarding Facility
Name of facility: ______
Address: ______
Contact Name: ______
Phone: ______
Boarded from what date: ______
Reason for Leaving: ______
______
5. References
Please provide 2 personal references that are horse related:
Name: ______
Address:______
Phone:______
Email: ______
Name: ______
Address:______
Phone:______
Email: ______
Present Vet’s Name and phone number: ______
Once this application has been received it will be reviewed and we will contact you as soon as possible.*
Please feel free to contact us with any questions you may haveand we hope to welcome you to the CCEC community!
*Completion of this form does not guarantee that a boarding agreement will be reached.
PLEASE SEE NEXT PAGE FOR ADDITIONAL HORSES
Name of your horse: (2)______
Check one: ____Gelding ____Mare (we do not accept stallions at this time)
If your horse is a mare, is she in foal? Yes / No (circle one)If yes, please specify approximate foaling date: ______
Do you expect that your mare will deliver her foal at this facility? Yes / No (circle one)
Color and markings: ______
Year foaled: ______
Breed, breed registry and reg. #: ______
Tattoos, brands or other identifying marks: ______
______
Are you the sole owner of your horse?
If not, please explain: ______
______
If the horse is leased, or on payment terms, a copy of the contract must be provided
when submitting this form and Legal Owners Information must be filled out below.
It the horse has been acquired within the last year please provide the previous owners
contact information below.
Name of Previous or Legal Owner: ______Years Owned: ______
Address: ______City: ______State:__ Zip: ______
Email Address: ______Cell Phone: ______
Home Phone: ______Wk Phone: ______
Name of your horse: (3)______
Check one: ____Gelding ____Mare (we do not accept stallions at this time)
If your horse is a mare, is she in foal? Yes / No (circle one)If yes, please specify approximate foaling date: ______
Do you expect that your mare will deliver her foal at this facility? Yes / No (circle one)
Color and markings: ______
Year foaled: ______
Breed, breed registry and reg. #: ______
Tattoos, brands or other identifying marks: ______
______
Are you the sole owner of your horse?
If not, please explain: ______
______
If the horse is leased, or on payment terms, a copy of the contract must be provided
when submitting this form and Legal Owners Information must be filled out below.
It the horse has been acquired within the last year please provide the previous owners
contact information below.
Name of Previous or Legal Owner: ______Years Owned: ______
Address: ______City: ______State:__ Zip: ______
Email Address: ______Cell Phone: ______
Home Phone: ______Wk Phone: ______
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