Grant Application: Organization

Grant Application: Individual
The intent is to provide funds in the event that a horse owner has unexpected expenses or has lost their regular income. The grant is intended to tide one over so they can keep their horse. The grants are not intended for persons who can adequately provide for their horses. Please be cognizant when you apply that we have limited funds and consider those most in need when we provide grants.
Name

First Name Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Name of horse(s)
Amount requested
Please describe the situation and how the funds would be used.
Vet reference name
Vet reference email
example@example.com
Vet reference phone
Please enter a valid phone number.
Vet reference address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Farrier reference name

First Name Last Name
Farrier reference email
example@example.com
Farrier reference phone number
Please enter a valid phone number.
Approximate monthly income
How many equines are you responsible for?
By signing below, you certify that the information is true and complete to the best of your knowledge and that you own and have full authority to geld the animal(s) (if requesting a gelding grant).
Signature

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Date

Month Day Year
Date
Should be Empty:

Grant Application: Individual