Full Name *
Email *
Will This Horse Live At Your Residence?
Who Will Be The Primary Caretaker Of This Horse?
How many acres are in the pasture where he/she shall live?
What sort of fencing do you have? *
What kind of shelter do you have for your new horse? *
Do you have a source to secure hay for him/her in winter?
What type of water source do you have? *
How do you keep your water source from becoming too hot in summer or too cold in winter?
Do you have other companion animals? *
If so, please tell me about them (breed, sex, age, spayed/neutered, etc.).
Have you had any other animals in the last five years? *
If so, what happened to them? If deceased, what was the cause of death?
If you have had or presently have animals now, were/are they up to date on shots and on a heartworm preventative? *
If so, what kind?
If you currently have other horses, are they on a regular schedule for worming and for annual shots? *
What is the name and phone number of your vet? We will use him/her as a reference. In providing this information, you are also giving us permission to access your pet’s medical record. *
If approved to adopt this horse, what means for transport do you have? *
What would be a good time for a home visit prior to our final decision on this application? *
Anything else you can tell us about yourself, your family, and the living environment your new pet will have will be greatly appreciated.
Please copy the figures to the right exactly. Click on the blue circle if you need to try different ones.
