Adoption Application

Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Home Phone
Work Phone
Cell Phone or Pager
Email
Is this your first horse?
- Yes
- No
If no, when did you own a horse?
Were you the Sole Caretaker of the horse?
- Yes
- No
Explain in more detail:
Have you had full charge of the care of someone else's horse?
- Yes
- No
Explain in more detail:
Do you have a preference as to age, breed, sex, etc. of the horse?
What other characteristics do you need, (e.g. horse for a child)?
Are you interested in a companion horse?
- Yes
- No
Who will be the primary rider/handler?
Age of Primary Rider/Handler
Riding Level of Primary Rider/Handler
Will you have a professional trainer if the horse you adopt is not within your experience level?
- Yes
- No
Will others handle or ride the horse?
- Yes
- No
If yes, under what circumstances?
What activities do you plan to pursue with the horse? (check all that apply)
- English
- Western
- Trail
- Showing
- Jumping
- 4-H
- Roping
- Barrels
- Packing
- Other (Please Describe)
Other Activities
Describe briefly, including amount of space, shelter, and other animals:
Provide two references, not related to you, who have information about your capability to care for a horse:
Reference 1 Name
First Last
Reference 1 Phone
Reference 1 Address
Street Address Address Line 2 City State ZIP Code
Reference 2 Name
First Last
Reference 2 Phone
Reference 2 Address
Street Address Address Line 2 City State ZIP Code
Name of your veterinarian
First Last
Name of your ferrier
First Last