If you are human, leave this field blank.New Customer InformationFirst Name *Last Name *Address *CountryUnited States (US)United Kingdom (UK)CanadaAustralia---AfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAmerican SamoaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraÇaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqRepublic of IrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaWestern SamoaYemenZambiaZimbabweCityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)American SamoaGuamNorthern Mariana IslandsPuerto RicoUS Minor Outlying IslandsUS Virgin IslandsZip codeEmail *Phone *Date *Rider InformationRider 1NameAgeHeightWeightConfidentYesNoDisability or Additional InformationRider 2NameAgeHeightWeightConfidentYesNoDisability or Additional InformationRider 3NameAgeHeightWeightConfidentYesNoDisability or Additional InformationExperienceHave you owned horses previously?YesNoDo you have your own farm or do you plan to board?Own FarmPlan to boardDo you currently own horses?YesNoIf you do currently own horses, please describe them below, (age, sex, rideability, etc.)Do you have a trainer or plan on hiring one?Yes, I have a trainerYes, I plan on hiring a trainerNo, I do not need a trainerWhat type of riding experience do you or your other riders have?Have you had any bad experiences with horses in the past? If so, please explainWhat type of facilities will you have access to?List the various things like round pen, arena, size of riding area, trails, etcWhere do you plan on keeping your horse?Check all that applyIn a stallIn a paddock/pen areaIn a pastureGoalsWhat type of riding do you plan on doing?EnglishWesternAre there any advanced disciplines you have aspirations of participating in?CuttingHunterJumperBarrel RacingEventingRopingPenningReiningDressageCompetitive Trail4HPony ClubDrivingOtherIf you selected other in the previous question, please list it here?Do you plan on having multiple level riders using the horse?YesNoWhat are you expectations in a horse?Desired Horse AttributesPlease check the boxes for the items that are most important to you in your next horseDispositionPedigreeConformationIntelligenceShow RecordCoat LengthSpeedRodeo ExperienceArena ExperienceTrail ExperienceExperience With CowsRoping ExperienceFlying Lead ChangesReining AbilityDressage ExperienceJumping ExperienceEventing ExperienceMounted Shooting ExperienceParade ExperienceBreedSize/HeightColorAge (Specify Range)Sex (Please Specify)OtherAdditional InformationPlease provide any additional information you feel might aid us in matching you with the right horsesAcknowledgementI understand that there is an inherent risk in all equine activities. Diamond J does it’s best to thoroughly test that all of the horses perform in the manner we expect and advertise them to perform. However, horses do have a mind of their own, have good days and bad days, and require time and effort to be consistent. I realize that Diamond J is located in Arkansas and I have the opportunity to try the horses personally before I buy them, as well as perform a veterinarian exam with a vet of my own choosing. I do not hold Diamond J responsible for any injury that may result from the purchase of one of its horses. I agree that I have read and understand the above acknowledgement *YesSubmit
