VEWS Adoption Application

VEWS Adoption Application
Contact Information
Name
Address

Street Address

Street Address Line 2

City/State/ZIP Code
Home Phone
Cell Phone
E Mail Address
example@example.com
Employer Information
Name
Address

Street Address

Street Address Line 2

City/State/ZIP Code
Office Phone
General Information
1. Have you owned/cared for horses before?
2. Do you currently own equines? If so, how many?
3. Please describe the vaccination schedule for your current equine(s) (if applicable).
4. Please describe the farrier schedule for your current equine(s) (if applicable).
5. How many years' experience do you have caring for horses?
6. Can you comfortably cover all expenses needed to adequately maintain an additional horse, including proper feed, hay, and veterinary expenses?
7. Do you currently own or rent your property?
8. Will you be boarding your horse or keeping it at your property? If boarding, what facility?
9. If you are interested in a particular horse, please give his/her name
10. Describe the type of horse you are looking for to fit your needs
11. Describe your property setup for horses (i.e. pasture size, barn, fencing, run in, water source) *NOTE: Barbed wire fencing is not permitted
12. Describe your experience with horses (i.e. care, training, riding experience)
13. What level of experience do you consider yourself regarding horse handling?
14. What level of experience do you consider yourself regarding horseback riding?
15. What level of experience do you consider yourself regarding horse training?
16. How did you hear about VEWS?
Veterinary Reference
Name
Address

Street Address

Street Address Line 2

City/State/ZIP Code
Office Phone
Farrier Reference
Name
Address

Street Address

Street Address Line 2

City/State/ZIP Code
Office Phone
Other Personal Reference
Name
Address

Street Address

Street Address Line 2

City/State/ZIP Code
Office Phone
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as an adopter, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
Name (print)
Signature

Clear
Parent/Guardian Name (print)
Parent/Guardian Signature

Clear
Date

Month Day Year
Date
I authorize VEWS to use any images/commentary included as part of post-adoption updates for their marketing/media purposes.
It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

Thank you for completing this application & for your interest in adopting a VEWS horse.
Should be Empty:

VEWS Adoption Application

Contact Information

Employer Information

General Information

Veterinary Reference

Farrier Reference

Other Personal Reference