Liability Questionnaire For Equine Operations

Name

Phone

Address

Address

City/Town

State/Province

- None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

ZIP/Postal Code

Name of Business

Do you own, lease or have use of the premises that you operate out of? Please explain.

What type of facility/operation is this?

How many horses do you personally own/lease?

How many non-owned horses do you board or train?

What is the average value of the horses you do not own that you have in training or board?

Do you provide riding instruction to students on student owned horses?

Yes

No

Do you provide riding instruction on "school/lesson" horses?

Yes

No

If yes, how many school/lesson horses are used at any one time?

How much do you charge for lessons on student owned horse(s)?

How many lessons per week?

How much do you charge for lessons on school/lesson horse(s)?

How many lessons per week?

Do you conduct pony parties?

Yes

No

Do you host clinics?

Yes

No

Do you host shows?

Yes

No

Do Independent Trainers use the facility?

Yes

No

Do you hire any employee's?

Yes

No

Email

Submit