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Date:     Owner and/or Trainer’s Name: Address: City:      State or Province: Postal / Zip Code:  Country: Submitted By: Your Phone # : E-mail: Equine Information Horse’s Name: Weight lbs/kg: Breed: Age: years/months (ex. 2yr 6mo) Life Stage   Growing weanling, 4 months   Growing weanling, 6 months moderate growth   Growing weanling, 6 months rapid growth   Yearling, 12 months moderate growth   Yearling, 12 months rapid growth   Long yearling, 18 months not in training   Long yearling, 18 months in training   Two year old, 24 months not in training   Two year old, 24 months in training   Pregnant mare, 9 months   Pregnant mare, 10 months   Pregnant mare, 11 months   Lactating mare, foaling to 3 months   Lactating mare, 3 months to weanling   Maintenance, mature horse not working   Senior   Stallion, in breeding season   Performance, light work *   Performance, moderate work **   Performance, intense work *** * Light work - english pleasure, western pleasure, equitation, hack, daily walking, dressage, trail riding, hunter under saddle, plantation pleasure, light schooling with occasional competition on weekends. ** Moderate work - ranch work, roping, cutting, barrel racing, jumping, novice 3 day eventing, packing, team penning, reining futurity. *** Intense - cross country, polo, steeple chasing, racing, eventing. Condition: choose one below. If your not sure of your horses condition score, you can download the pdf file now or if you prefer a copy will be sent to you with your ration analysis form in the mail.   #1 Poor   #2 Very Thin   #3 Thin   #4 Moderately Thin   #5 Moderate   #6 Moderately Fleshy   #7 Fleshy   #8 Fat   #9 Extremely Fat Diet: Grain Name 1 : Amount (total for the day): Lbs/Kg Grain Name 2 : Amount (total for the day): Lbs/Kg Grain Name 3 :Amount (total for the day): Lbs/Kg Grain Name 4 :Amount (total for the day): Lbs/Kg Hay Name 1: Amount (total for the day): Lbs/Kg Hay Name 2: Amount (total for the day): Lbs/Kg Hay Name 3: Amount (total for the day): Lbs/Kg Hay Name 4: Amount (total for the day): Lbs/Kg Supplements: Amount (total for the day): Oz/gram Supplements:  Amount (total for the day): Oz/gram Supplements:  Amount (total for the day): Oz/gram Supplements:  Amount (total for the day): Oz/gram Supplements:  Amount (total for the day): Oz/gram Other: Amount (total for the day): Lbs/kilo/oz/gram Medications: (type as much as you need) Health Concerns or Chronic Problems: (type as much as you need) Please make sure you fill out each section of the form that pertains to your horse completely to ensure accurate results. Your information is safe with us. We do not trade, sell or share it.