Curly Sporthorse International
Veterinarian Examination Report

Horse’s Name:_____________________________ Foaling Date:_____________

CSI Reg. Nbr:_________________ (leave registration number blank if the form is being submitted with the registration application or registration is pending.)

Measurements: (Please have DVM verify all measurements)

Height:__________ Cannon Measurement ________ Heart Girth ____________

Brief Description (Color/markings): ____________________________________

Date:_____________ Owner:________________________________________

Address: _____________________________________Phone: (___)__________

1. Eyes: Appear free from problems.
o Yes o No Comments:_______________________________________________________

2. Mouth: Upper and lower incisors meet without a gap in such a way as to permit normal wear. Parrot (i.e. overshot) and bulldog (i.e. undershot) mouth or any other deviation from an even bite is unacceptable.
o Yes o No Comments:____________________________________________

3. Skin: Free from evidence of chronic allergic conditions that could be hereditary.
o Yes o No Comments:___________________________________________

4. Feet: Well formed, substantial feet, clubfoot is unacceptable.
o Yes o No Comments:__________________________________________

5. Heart and lungs: Without apparent hereditary defects.
o Yes o No Comments:__________________________________________

6. Reproductive anatomy: Appears normal. Cryptorchid or monorchid is unacceptable.
o Yes o No o Gelding Comments:_____________________________________

Veterinarian’s Signature:_____________________________________________

Veterinarian’s name, printed:_________________________________________

License number_____________________ Date:__________________________

Address:___________________________________________________________

Instructions:

1. Please have this form completed & signed by a licensed veterinarian.
2. Please print two to three copies for each horse, one for CSI and one for your records (or your vet’s records, if he wants to keep one on file).
3. There is no charge for submitting this form for you horse but the horse must be at least 3 years of age.
4. If you have submitted this form earlier but would like to make a correction on record for changes in the statistics (such as height, cannon measurement, heart girth) please resubmit the form signed by a vet recording the changes for CSI records. The genetic questions may be omitted if the form was submitted at an earlier date.
5. Cannon bone measurement is the circumference of the cannon bone just below the knee joint and reported in inches. (See C below).
6. Heart girth measurements is the circumference of the horse’s heart girth area (body just behind the wither at the top and girth area behind the elbows) and reported in inches. (See H below).
7. Height should be reported in hands (ie 15 hands and 2 inches – 15.2. Half inches may be reported. Measurement should be taken on level ground preferably a level, paved area, for accurate results. Measurement should be done with a measuring stick, not a tape, for more accurate results.