Repeat Adoption Form for HOP

REPEAT ADOPTER FORM FOR HEART OF PHOENIX

Use this form if you've adopted before or been approved to adopt and it has been over 1 year since approval

Your Contact Information
First Name*
Last Name*
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Link to your Facebook account, if applicable
When were you last approved?
Household Income (SAME OR NOTE CHANGE):
Are you a previous adopter of HOP or a Previous approved applicant only?
What horse, if applicable, did you adopt before? Have you stayed up to date with monthly updates your first year? Afterward, have you updated the team at least yearly?
Is your adopted horse (if applicable) up to date on dental float, vaccines, coggins and farrier care (all horses on site must be up to date in the last year to be approved again) ?
Which Horse(s) are you Interested in:*
Is your adopted horse a body scored of 5-6 at this time? (Unless being treated by a vet for a medical condition, this is required)
If you're a current adopter, please email current photos of your adopted horse(s) to equinerescue@live.com when submitting *
Current Farrier, Vet or Dentist contact information: *
Has Anything Changed in regard to numbers of horses, location, horsemanship skill or caregivers since Your Last Application (If No, please type No, and then submit photos of your current horses and facility via email at equinerescue@live.com)?
What is your current height and weight?
A rider that is 20% of the horse's weight, with their tack, is what we deem appropriate for adoption
How many horses do you currently own/lease/care for? *

What to expect
I, the undersigned, understand I am applying to adopt an equine(s) from Heart of Phoenix Equine Rescue, INC (hereinafter referred to as HOP).

I understand that I am applying to adopt, and I understand that I may not be able to adopt the equine I am interested in for various reasons.

I understand no reasons will be disclosed if the application is denied.

I agree to not request this information. I agree to not speak against the rescue publicly based on a denial of this application.

I understand I am welcome to submit a new application after 1 year if this application isn't approved.

I agree to notify said references ahead of time they will be interviewed and to request those required contact HOP.

I realize applications must be approved by the Board of Directors unanimously.

I agree to hold Heart of Phoenix Equine Rescue, INC, its board, directors, fosters and all affiliates blameless and free of any liability should I be approved to adopt from this organization and visit any of the facilities where rescue horses are located and incur any injury while visiting the equines whether while riding or handling the horses in any manner.

I understand HOP does not know the histories of the adoptable horses, and If I am approved, I will handle and ride the equine I'm interested in at my own risk.

By signing this application, I agree that I have read and understand the Contract and Adoption Foster Policy of HOP found at www.wvhorserescue.org Type

Name: *
I've read this and I've:
Your Signature*

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