Horse Boarders Association
P.O. Box 14082
Santa Barbara, CA 93107
(805) 893-4208

Applicant Questionnaire

Please print, fill out, and mail to the above address.

Please note, applicants for leases (non horse owners) need only fill out the
parts pertaining to themselves and horse care.

Date:___________ Previous member? Yes____ No _____

Name:__________________________________________________________

Address:________________________________________________________

City/State:__________________________________ Zip Code:____________

Phone:_______________________ E-mail:_____________________________

Alternate address/phone:____________________________________________

Car make and license number:________________________________________

Name of horse:_____________________ Breed:_________________________

Age/DOB:___________ Sex:______________ Height:_____________

Description of horse:_______________________________________________

Describe any health problems of
horse that require special care:________________________________________

Any vices (pulling, kicking, cribbing, etc.)?______________________________

Dryland Distemper?_______________________________________________

Does the horse load and/or trailer well?_________________________________

What special riding interests do you have?______________________________

________________________________________________________________

How often do you plan to exercise you horse?___________________________

What kind of exercise and for how long?________________________________

How often do you plan to feed your horse per day?______________________

How much per feeding?______________ How often do you worm?_________

How often do you vaccinate?________________________________________

Please list dates and names of last wormings and vaccinations given:

________________________________________________________________

________________________________________________________________

How often do you have your horse
trimmed or shod? (indicate which)____________________________________

How often do you plan to clean your corral?____________________________

Describe previous stabling experience
(public barn, backyard, corral, pasture, box stall, etc.):_____________________

________________________________________________________________

Desired arrival date, if accepted?________ Anticipated length of stay?_______

Are you a student, staff, faculty or alumnus
of UCSB? (circle one) If a student, what year are you?____________________

Describe your background and experience with horses:____________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

Please briefly describe what you feel constitutes
a co-op. How can you best contribute to the co-op?______________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

Thank you! We will contact you about your application. If you have any
questions, you can call the stables at (805) 893-4208