Willow Creek Horse Farm
10387 Hogan Road, Swartz Creek, Michigan  48473

810-735-9626      810-735-5979(fax)

ON-LINE APPLICATION

PLEASE NOTE:        By providing information and an application for membership for completion and submission, Willow Creek Horse Farm, and all affiliated organizations and / or persons (collectively referred to as ?OWNER? and / or ?WCHF?) are not entering into any agreement or making any offer. The materials provided are meant to be illustrative and not binding in any way, except to the extent of the express written incorporation of any such materials into any otherwise binding contract and / or agreement. 

This form should be used is for initiating the completion and submission of an application for membership, by e-mail. Once an application is received, reviewed and approved, a proposed membership agreement will be sent to the applicant for review and endorsement.

In order for this application to be processed electronically, EVERY questions must be answer.  If the question does not apply, please place an N/A in the answer box.

Application Type:
          
Date:

 
Full Name (as it appears on drivers license):

 
Address (as it appears on drivers license):

 
City, State, Zip, (as it appears on drivers license):

 
Please ind icate what the best time, and what the best telephone number combination would be if the Owner
and / or WCHF staff needed to discuss something with the applicant:
 
Home Telephone:

 
Business Telephone(s):

 
Cellular Telephone(s):

 
Your Email Address:

 
Emergency Contact Information:
(please include, name, complete address, contact telephone number(s) and relationship)
Occupation / Employer /  Time in position:
(please include, business name, complete address, contact telephone number(s) and supervisors name)

Does the applicant or anyone proposed to be associated with any horse at WCHF have any allergies to horses or barn
environments, which requires specific medical treatment and information that should be known to WCHF owners and / or
staff?

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If so, please, fully explain:
(Please put N/A in form box if not applicable to above answer)

What are the names and current affiliation with the applicant of any horses that the applicant has owned and / or had an
ownership or lease interest in, over the last five calendar years?  Please provide any detailed explanation, where appropriate:

Do you agree to purchase and make available any and all supplements and/or medically advisable medications, with detailed
dosage and administration instructions provided by a licensed veterinarian, for any horses that you board at WCHF?
         

Is the applicant going to routinely provide the supplements and medications to the horse, or is that a service expected
to be provided by WCHF


 

INTENDED FACILITY USAGE
 

Please describe the applicants anticipated weekly use of the facility:

 
Please list the names, complete addresses, telephone number(s), date of birth of any proposed user(s) of any horse:

 
Please list a full and complete description of any horse riding lesson program experience and / or total years of riding and / or
competition experience of any proposed user of any horse:

 

ADDITIONAL SERVICE DESIRED

Horse Grooming:

 
Non-training workouts on lunge lines, lone lines and / or otherwise:

 
Arraignments for formal training:

 
If yes to formal training, please list the desired type of training:
(Please put N/A in form box if not applicable to above answer)

 
Riding Lessons:

 
If yes to riding lessons, please list the level of prior experience:
(Please put N/A in form box if not applicable to ab ove answer)

 
Current Veterinarian:
(Please list name, complete address and telephone number)

 
May we contact your veterinarian as a reference:

 
Please provide 2 personal references:
(Please list name, complete address and telephone number)
Reference #1
Reference #2

 
 

HORSE INFORMATION

Once you have completed this application, please complete the "On-Line Horse Information" for each horse
you intend to board at WCHF.  The horse information link can be found on "Services and Rates" page. 
< font face="Franklin Gothic Medium" color="#FF0000">No applications will be considered without complete horse information
 
This application will not be accepted unless completely filled out!   Thank You!
   

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