headshaking

Horse Donation Form

The following horse is to be donated to The Headshaking Syndrome Center and Pam Neff for the purpose of studies related to headshaking syndrome in horses. This transfer will include full ownership of the horse to The Headshaking Syndrome Center and Pam Neff and the previous owner will no longer have any rights to the horse. The previous owner has made sure that there are no unattended to liens or debts related to the horse.
The horse must be otherwise healthy and not have any of the following conditions:
Infections
Immunosuppressive conditions such as pituitary pars intermedia dysfunction

   
Horse Description:
Name:
DOB:
Registration:
Color:
Breed:
Sex:
Other information:
Previous owner information:
Name:
Address:
Phone:
Email:
Signature of previous owner:
Date:
Signature of Pam Neff:
Date:
Monetary donations for the care of feed, medications, trimming, etc.:
 

Thank You for contributing to help horses with this debilitating, painful disorder.

 
     
 
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