Retire a Horse Through TAKE THE LEAD

TAKE THE LEAD Intake Form

THE RETIRING RACEHORSE MUST UNDERGO A VETERINARY EVALUATION AND BE APPROVED AS SUITABLE FOR A SECOND CAREER TO BE ACCEPTED INTO THE TAKE THE LEAD PROGRAM. Once accepted, please transfer the retiring racehorse to the appropriate aftercare organization in your HISA Portal.

Horse's Name(Required)

Year of Birth(Required)

Sex(Required)

Filly/Mare

Gelding

Colt/Stallion

Chip/Tattoo Number

Horse Height(Required)

15-15.2h

15.3-16h

16.2-17h

Over 17h

Under 15h

Currently Stabled at (Track/Barn #)(Required)

Date of Last Race

MM slash DD slash YYYY

Why Is The Horse Being Retired?(Required)

Injury

Illness

Non-competitive

Age

Current and Past Injuries(Required)

Current and Past Illnesses(Required)

Past Surgeries(Required)

What Medications is the Horse On? (N/A if none)(Required)

Joint Injections in the Last 30 Days (N/A if none)(Required)

Vaccination Date(s)(Required)

Description of The Horse's Personality and Any Vices(Required)

Owner's Name(Required)

Owner's Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Owner's Phone Number(Required)

Owner's Email Address(Required)

Trainer's Name(Required)

First Last

Trainer's Phone Number(Required)

Trainer's Email Address(Required)

Veterinarian's Name

First Last

Veterinarian's Phone Number

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