Domnarski Farm Boarding Agreement
This agreement is made between the Domnarski
Farm, and________________________________________________________(Owner), owner of
the horse described in C. below. Owner
warrants that he/she owns the horse and that the horse is negative for Coggins and is free of disease.
All fees are subject to change given 30 days written notice by the Domnarski Farm.
1) In consideration of $395 per horse
per month ( or $14 per day) paid by owner in advance on the first day of each month, Stable agrees to board horse beginning
______________________on a month-to-month basis. Fee includes daily turn outs, stalls cleaned daily, hay and grain twice a
day fed by stable as morning and evening feedings. Special needs, medicine, treatments can be arranged by separate agreement.
2) A late fee of $25.00 will be accrued per horse on the 15th of each month.
3) If horse damages feeder, hay rack,
waterer, etc. owner agrees to pay for a replacement item of similar quality. Stable agrees to provide labor to replace damaged
4) Reasonable additional fees will be charged according to rates posted in tack room. These fees will be billed
to owner. Such bill shall be paid within fifteen (15)days from the date it is submitted to Owner.
5) Options to basic
fees paid in a timely fashion are listed below. Each optional service requested must be initialed by Owner. These options
can be changed at any time the Stable receives written notice from owner.
B. Right of Lien: Stable has the right
of lien for the amount due for board
and additional agreed upon services and shall have the right, without process of
law, to retain said horse until the indebtedness is satisfactorily paid in full.
C. Description of Horse:
D. Standard of Care:
Stable agrees to provide normal and reasonable care to maintain the health and well being of said horse as stated in (A.1).
E. Farrier Information: Owner is responsible for providing a farrier for trimming/shoeing. Owner’s are welcome
to contract the services of the Domnarski Farm farrier Deb Ballou (860)428-3441. If owner is not present, an additional stable
charge will be billed. Owner has the right to
choose another farrier but agrees to take full responsibility in scheduling
and paying farrier.
Preferred Farrier:______________________________________phone #:_________________________
you want us to use another farrier if horse throws shoe,etc.?____________________________________
F. Veterinary Information & Emergency Care: If emergency treatment is needed, Stable will attempt to contact Owner
but, in the event Owner is not reached, Stable has the authority to secure emergency veterinary and or farrier care. Owner
is responsible to pay all costs relating to this care. Stable is authorized as Owner’s agent to arrange billing to Owner.
Dr. Sarah Newton of New Braintree, MA (508)867-0425 & fax (508)867-3321 is Stable’s designated veterinary hospital
for routine and emergency veterinary care. Owner authorizes stable to administer medications and/or treatments.
Domnarski Farm Rules:
1. No smoking on ANY Domnarski Farm property, including inside vehicles on the Domnarski
Farm. NO EXCEPTIONS. Violation of smoking ban by the owner, owner’s farrier or guests will cause for dismissal of horse
from the Domnarski Farm and forfeiture of any fees already paid.
2. Horse Owners, and/or any one else the Horse Owner
allows to ride their horse(s), has a signed “Waiver of Liability and Assumption of Risk” on file with the Domnarski
3. Horse Owners and their guests shall conduct themselves in a manner which respects the person and property of
others, the safety of all persons and horses, and exercise good judgment in all activities undertaken at the Domnarski Farm.
4. Newly-arrived horse(s) shall be on probation for a period of 30 days in order to determine whether or not the horse(s)
is/are compatible with the care arrangements at the Farm. As soon as such a determination has been made, the Horse Owner will
be notified. If the horse(s) is/are to be removed, the Domnarski Farm and Horse Owner will arrange for such action as soon
5. Supply a copy of current negative coggins test to Domnarski Farm.
6. Supply evidence of spring shots
from the most recent spring.
7. Supply copy of bill of sale, registration paper, jockey club papers or other form of
proof of ownership.
8. Maintain the normal annual immunization program as recommended by your veterinarian, with a record
copy to Domnarski Farm.
9. Maintain a farrier schedule.
10. Pay for the administering of drugs, supplements and
medications provided by the Horse Owner at an agreed upon service charge.
11. You are responsible for providing fly spray
and/or masks for your horse during insect season.
12. For sick care the rate of $20.00 per hour or any portion thereof
13. Supply a list of all authorized riders of your horse. All riders must have a completed liability release
form on file with Domnarski Farm prior to riding and must abide by Domnarski Farm rules while on the premises of Domnarski
14. Any rider under the age of seven years must have adult supervision while riding and while in the barn area.
Riders ages seven through twelve years of age must have an adult in attendance while riding and while in the barn area.
15. Prior notice should be given to Domnarski Farm when taking your horse from the premises.
16. Horse owner is responsible
for any damage done by his/her horse, his or her self, his/her companions, or Horse Owner’s authorized user, to Domnarski
17. Domnarski Farm has the right to immediately terminate this agreement with Horse Owner, without refund,
for abusing any horse on Domnarski Farm property, or for repeated improper behavior or violation of Domnarski Farm rules.
18. Domnarski Farm shall be entitled to a lien against the boarded horse for the value of services rendered, and shall be
entitled to enforce said lien according to the laws of the Commonwealth of Massachusetts, provided;
a. Domnarski Farm
performs the services herein specified,
b. Horse Owner fails to make scheduled payment.
19. Domnarski Farm is not
a. Any accident or injury to horse, Horse Owner, his/her companions or Horse Owner’s authorized user.
b. Damage to or the theft of any tack or other personal belongings of the above mentioned.
20. Horse owner shall not
use tack or personal property of another without authorization.
21. Horse owner will give a one month’s notice
if terminating this agreement. All bills must be paid before horse leaves Domnarski Farm property, unless otherwise agreed
22. No alcoholic beverages or drugs allowed on premises.
23. Absolutely no dogs.
24. Do not bring children
that require a babysitter without also bringing the babysitter. Do not allow any children to play in any area where there
is horse traffic, or in any paddock or riding ring. No one of any age is allowed to run in the barn, screech, scream, clap
or do anything else that will spook a horse, without reasonable cause. You are responsible for yourselves, guests and children.
Owners of animals are exclusively allowed in the paddock areas and riding areas. Guests and children should not be present
in these areas unless they are working with an animal.
25. No screaming, yelling, running or disruptive behavior.
26. Communication is encouraged. Feel free to leave notes on the message board.
27. Sweep up aisle when finished with
28. If your horse poops in the riding ring or round pen while working, please remove it.
put away all your belongings when you are finished working with your horse.
30. Please check lights and any doors or
gates that you may have opened before leaving, turned off water and drain hose.
31. Please return all tools such as pitchforks,
brooms, wheelbarrows, etc. to the place where they belong when you are done using them.
32. Due to limited storage space,
please keep excess equipment/blankets rarely used at home.
33. For the above reason, please keep all equipment/blankets
stored properly on racks provided.
34. Please hose horses outside only.
35. All large trunks must be stored in the
loft. One small trunk may be kept in tack area.
36. The hayloft is to be kept dry at all times. Do not open the access
doors to the loft during a time of precipitation.
37. Please inform management of any farrier/vet/instructor visits as
early as possible.
38. Riding areas are for general use. If you require the ring to yourself (i.e. for a lesson), please
post your scheduled time in advance, to allow the farm and other boarders ample notice.
39. For our own protection, guests
who will be riding must sign a liability release.
40. You are expected to be present for any vet/farrier visits, for
general safety. Should you not be available, you may employ management services at prices listed on inclusion sheet.
We are all to respect each others belongings. Do not help yourself to another’s belongings, supplements or medications
42. Do not leave any items which may cause injury to animals in any pasture or turnout area.
Do not use chemicals that are not environmentally safe. Never dump any wash water or empty any container in a pasture area
or an area accessible to horses.
44. Please do not operate the spreader or tractor. If you have an uncontrollable urge
to pick out your stall, please use the wheelbarrow and empty it into the appropriate pile. Please do not leave the wheelbarrow
full of manure or blocking any aisle or entranceways.
45. If someone asks for manure, they are free to take it out of
the manure pile.
46. Do not modify any stall, structure, fencing or any other object, or rearrange any area of the barn
without gaining permission of the barn owner.
47. Do not give any horse treats other than your own, without permission
of the owner.
48. Do not ride any horse, or allow your companions to ride any horse that you do not own.
do not intentionally ride on the lawn or in the garden or flower beds.
50. Please do not bring barn cats.
WAIVER OF LIABILITY
AND ASSUMPTION OF RISK
Domnarski Farm,77 Bacon Road, Ware MA 01082, Hamden County, Massachusetts
I, the undersigned,
wish to ride horses. I understand that riding horses involves accepting certain risks. Those risks include, but are not limited
to, the risk of injury resulting from falling from a horse, being stepped on or kicked by a horse, from a horse running into
fences, trees, or buildings, and injuries resulting from tripping or falling over obstacles in the riding areas. In addition,
I understand that the injuries sustained from riding
horses could be serious or could even result in death. Despite this
and other risks, and fully understanding such risks, I wish to ride horses. I hereby assume all the risks of riding horses.
I also hereby hold harmless the horse owner, if not my own horse, and the owners of Domnarski Farm, and agree to defend them
against any claims or
actions resulting from my riding horses, including all expenses and attorney fees. I hereby release
Domnarski Farm, owners, and other horse owners with animals stabled there from any and all liability, and I understand that
this release shall be binding upon my estate and all my representatives. I further acknowledge and understand that any horse
activity, including, but not limited to, feeding, grooming, handling, even being in close
proximity to horses, carries
a certain amount of risk. I fully accept this risk for myself and any guests with me. I release Domnarski Farm, its owners,
and/or other horse owners with animals stabled there from any and all liability for any injury or death that may occur from
such horse activities while on the premises and indemnify and hold Domnarski Farm, its owners, and/or other horse owners with
animals stabled there harmless against any such liabilities, such indemnification to include attorney fees. I hereby certify
to Domnarski Farm, its owners, and other horse owners with animals stabled there that I am in good health and do not suffer
from any physical limitation that could be aggravated by riding horses. This release applies to the owners of horses on
the premises of Domnarski Farm, to the owners of Domnarski Farm, to owners of any
equipment on the premises of Domnarski
Farm, and to any of their heirs, successors, and assignees.
I agree to ask the owners of Domnarski Farm for clarification
of any rule or safety procedures, for further instruction as regards anything that I do not understand about the equipment
and the animals, or as regards anything else that may affect the safety of, or riding of, horses on the premises. I also acknowledge
that the owners of Domnarski Farm strongly recommend the use of relevant equine safety gear, such as helmets, but do not specifically
require its use. As such, I accept full responsibility for any and all injuries whether or not I choose to accept this recommendation.
I have fully read this Waiver of Liability and Assumption of Risk carefully and understand that by signing below I am agreeing,
on behalf of myself, my estate, my heirs, representatives and assigns not to sue Domnarski Farm, its owner Lisa A. Domnarski
and/or horse owners with animals stabled there, or to hold him/her/them liable for any injury, including death, from riding
horses. I understand the terms of this waiver of liability and assumption of risk, and I intend to be fully bound by this
By virtue of my signature, I acknowledge and agree to all terms and conditions set forth on this form and
further acknowledge that I have carefully read this agreement and understand what I am signing.
Date of birth (if < 18 years of age) ________________________________________
Parent(s) or Guardian of Minor Applicant
As the parent(s) or Guardian of the applicant, We/I hereby certify that this
applicant (child) is less than 18 years of age. We are/I am aware of the risks incurred in riding horses and the other horse
activities described in the waiver and have discussed them with our/my child. We/I have discussed the rules and safety procedures
with our/my child and are/am satisfied that s/he understands them. We/I understand that by signing below we are/I am agreeing,
along with our/my child, on behalf of ourselves/myself, our/my representatives and assigns, not to sue Domnarski Farm, its
owners, or other horse owners with animals stabled there, or to hold him/her/them liable for any injury, including death,
that results from our/my child riding horses or from any other horse activity. We/I understand the terms of this Waiver of
Liability and Assumption of Risk, and We/I intend to be fully bound by this agreement.
(Please print) Name(s) ________________________________________________________________________________
Street Address _________________________________________ State_____________ Zip ______________
______________________________ (work) __________________________ (cellular)
Law, an equine professional is not liable for injury to, or the death of, a participant in equine activities resulting from
the inherent risks of equine activities, pursuant to Chapter 128, Section 2D of the General Laws.
In the event of an emergency, if the Horse Owner cannot be contacted, the Farm is authorized to contact the following veterinarians
selected by the Horse Owner:
First Choice ___________________________________________________________________
Third Choice __________________________________________________________________
If none of the above listed veterinarians is available, the Farm, acting as an agent of the Horse Owner, is authorized to
contact an alternate veterinarian.
Limitations to Emergency Care
In the event of an emergency where I cannot be
reached, I, the undersigned Horse Owner would like to impose the following guidelines (limits, if any, to type and cost of
care and emergency procedures):
1) Do everything possible to save the life of the horse, no matter what the cost or time
involved. Yes No
2) Do everything possible to administer aid to the horse, e.g., broken
leg, but immediate loss of life not eminent.
Yes No Comment:
3) Leave the choice to the attending
vet as to whether it is feasible to use drastic care measures or euthanize the horse. Please indicate if you wish a second
opinion. Yes No Comment:
4) Is there a dollar ($) limit that you do not wish to exceed in
emergency care? e.g., the vet states that leg is broken and may be saved, or that the horse has colic and may be saved by
surgery at the farm or hospital, but the initial cost will be $XXXX and continued care cost is unknown. Remember that
even if there are complications during emergency care and costs exceed this amount, you are responsible as the Horse Owner.
5) If the horse needs to be transported to a veterinary
hospital, who do we contact to move the horse?
6) Is the horse covered by insurance? If so, what is the name
of the company and the telephone contact number for the company?
7) Additional Guidelines and Comments:
G. Routine care required by Stable includes:
Tetanus, Strangles & Encephalitis vaccinations once
Intranasal flu and Rhino every 6 months or every 3 months if intra-muscular.
Parasite program to include
de-worming every other month or a daily worming program..
STABLE will not provide exercise or
any other care for said horse(s).
I. Risk of Loss: While the horse is boarded at Stable, Stable shall not be liable
for any injury, sickness, death, or theft suffered by the horse or any other cause of action arising from or connecting to
the boarding of the horse. Owner fully understands that Stable does not carry any insurance for any horses not owned by it
for boarding or for any other purposes, for which the horses are covered under any public liability, accidental injury, theft,
or equine mortality insurance; all risks are assumed by Owner. Owner agrees to hold Stable harmless from any loss or injury
to said horse. All costs,
no matter how catastrophic, connected with boarding or for any other reason for which the horse
is on the premises of Stable, are to be borne by Owner.
J. Hold Harmless: Owner agrees to hold Stable harmless
from any claim resulting from damage or injury caused by said horse and agrees to pay legal fees incurred by Stable in defense
of a claim resulting from damage by said horse.
Termination: Either party may terminate this Agreement given thirty (30)days
notice to the other. In the event of a default, the wronged party has the right to recover reasonable attorneys ’ fees
and court costs resulting from this failure of either party to meet a material term of this Agreement. Owner cannot assign
this Agreement unless Stable agrees in writing.
Owner &Horse Information
Address:______________________________________________Business phone _________________________
______________________________________________Cell phone _____________________________
Description of you:
you ever been involved in a lawsuit, or made insurance claims for liability or personal injury? ____________ If yes, please
Have you ever been arrested and if so list date(s) and reason for arrest(s) ___________________
We do not owe you an explanation of any sort as to why you were accepted or rejected.
For horse, contact ___________________________________phone #_______________________
For rider, contact ____________________________________phone
Physician __________________________________________phone #_______________________
Does your horse have medical insurance? _________If so, company
policy #________________________phone #__________________(Please provide us with a copy.)
Please indicate the type of behavior that we can expect from your horse, or general items that we should be aware
o Kicks o Bucks o Rears o Bites o Fence fighter o Paces
o Paws o Chews wood o Cribs (windsucks) o Frequently
fights for king of the heap
o Socially inept o Jumps fences o Runs through fences o Prone to colic o Hoof problems
o Cannot be caught o Loves toys o Pregnant o Mare provokes males o Lame
o Blind or nearly blind o Deaf or nearly deaf
o Navicular/Arthritis o Weaves
We are here because we love horses and want to provide good care to yours. We try
to balance the needs of each horse within the parameters of our farm, budget, and the needs of other horses. Please help us
determine your horse’s needs so we can maximize his comfort at Domnarski Farm.
Full board includes quality grass hay and grain. We can determine their diet from their condition
and will adjust accordingly. Do you have any preferences?
a.m.: ____flakes of grass hay ____flakes of alfalfa _____pounds
of oats (scoop =’s 3 1/2 lbs.)______vitamins
p.m.:____ flakes of grass hay ____flakes of alfalfa _____pounds of
Additional feeds or medications:
Turn out Information:
One turn-out is defined as each time a horse is removed from stall and left out in
paddock, loafing shed, arena or pasture and then returned to stall OR a 12 hour period. For outside winter turnouts we require
you to provide a waterproof blanket/sheet if horse is blanketed in stall. Turn-outs areas and time to be determined by us.
Boarded horses are turned out individually unless Stable and Owner have determined otherwise. Since stable can lower stall
cleaning costs on horses placed out overnight, these horses may receive more turn-out time under general boarding agreement.
Please note your preferences in order of choice. Number only those you prefer.(1,2,3,4,5)
permitting)____loafing shed (includes all night)____outdoor (full time)____outdoor (limit time,1 hour)____indoor (1 hour)
Summer choices:____day &night pasture ___day only pasture ____day only paddock ___night only pasture____night only paddock
___loafing shed (includes all night)____outdoor (limit time,1 hour)____indoor (1 hour)
Has your horse been out on pasture
before?________Is your horse at risk on pasture (founder/colic)?_____
Has horse ever been out all night?_________Is your
horse trained to electric fence?________
Been turned out with geldings?______Mares?________Is your horse aggressive to
Have other horses injured your horse?________Is your horse injury prone when turned out?______
Description of regular use of your horse:
How often do you work your horse? _________________________________________________
What time do you normally work the horse during the week? _____________________________
How often will your horse be taken off the property and returned for showing,
hunting, lessons, trail rides, etc.
We keep a daily log in the tack room which is available for you to review at any time.
It lists which horses were turned out that day, where, and who did it. Who fed grain or hay that day. Which farriers or vets
were/are scheduled to visit. Injuries that may have occurred or medications horses received.
A melamine board hanging
in the office list which horses have been turned out that week and on what days. It also includes the last time each horse
was vaccinated, wormed, or had farrier work.
We also keep permanent records of each horse while they are boarded with
us. This includes history of vaccinations, wormings, and farrier work. It also includes owner information and medical records
on horse. Please ask, if you would like to review your horses permanent records.
Barn Rules and Current Fee Charts are
hanging in office as well as in viewing room. We will be happy to answer questions during business hours,(8:00 a.m. to 8:00
Thank you for taking the time to fill this information sheet out. It helps us know your horse better.