Animal Surrender/Intake Request

Heart of Phoenix Change of Ownership Form
Use this form if you're an owner giving your horse to Heart of Phoenix

Once a horse or horses become the property of Heart of Phoenix (HOP), all claims of ownership are relinquished by the owner / person signing this form.While Heart of Phoenix may chose to update you on the horse's (horses') status, this is at our discretion. All adoption, euthanasia, medical treatment or anything concerning the horse(s) is confidential to HOP.
Your Name *
Email *
Phone *
Your or the Organization's Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Are you representing an organization? Please list:
Animal's (Animals') Name(s) *
Breed(s) *
Color(s) *
List any vetted, farrier care or medications related to this horse or horse(s).
What is your reason for surrender?
Amount of donation offered to help us cover the cost of vetting/caring for this Horse, if possible?
Type in any amount you would like to give, if you are able
You can make your donation here, if you're able:

https://www.wvhorserescue.org/donate/
Signature

Clear
Should be Empty:

Heart of Phoenix Change of Ownership Form