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LOPE Horse Return Request
First
*
Last
*
Address
*
City
*
State
*
Zip
*
Email
*
Phone
*
Jockey Club Name of Horse
*
Date Adopted
*
Why do you want to return this horse?
*
Has the horse been ridden regularly in past 4 months?
*
Yes
No
If yes, please describe:
Has the horse had any significant health issues during its time with you? (lameness, arthritis, colic, injuries, ulcers, eye problems, etc.)
*
Yes
No
If yes, please describe:
Has the horse shown any behavioral issues during its time with you? (biting, cribbing, kicking, bucking, refusing fences, rearing, bolting, etc.)
*
Yes
No
If yes, please describe:
Date of most recent coggins
*
Date of most recent vaccinations
*
Date of most recent dental
*
Date of most recent farrier visit
*
Date of any ulcer treatment
*
Thank you for submitting the form.
A LOPE team member will contact you upon review of the information.
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