Cornerstone Equestrian Centre
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info@cecweb.ca
GTA: 905-270-9751 or
Golden Tri: 519-489-2587
Fax: 888-859-0139
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Boarder Contact Information Form
Please complete this form in place of (or in addition to) the one in the Boarder Agreement. (You still need to fill out the first form in the Agreement and sign it. This form can replace the contact form in the back of the Agreement)
Thank you!
First Name:
Last Name:
Horse's Name
Horse's Breed
Horse's Colour
Horse's Brand/Tattoo #
Horse's Sex
Gelding
Mare
Stallion
Veterinarian's Name:
Vet's contact #:
Address 1:
Address 2:
City:
Province:
Postal Code:
Phone:
Phone: :: Numbers Only. If you have only a Cell phone # put it here.
Cell Phone:
Business #:
Fax #:
Email:
Emergency Contact:
Emergency Contact #:
People With Permision to Ride your Horse
People with Permission to Authorize Treatment and/or changes to service:
Vaccinations:
As of:
List each Vaccination per line:
Human Verification
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