Animal Surrender/Intake Request

This form is for Indidivudals needing to surrender their Equine friend, big or small. Please fill the questions in with as much detail as possible. Thank you.

Your Name*

Your Email*

Your Phone*

License Number*

Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Reason for surrendering? *

Animal's Name*

Animal's Registered Name

Breed*

Date of Birth*

Age*

Sex*

Height*

Brands

Microchip number

Last date vaccinations were given? (2in1 and hendra)*

Last date feet were done?*

Last date teeth were done? Equine dentist or vet?*

Last date worming was given? Type? *

Education level under saddle? Last time ridden? Vices under saddle?*

Known medical issues? Soundness, lameness, allergies, chronic pain...etc*

Previous medical issues? colic, founder, surgical procedures, major or minor injuries...ect*

Current treatments?*

Temperament? likes or dislikes?*

Biting?*

YesNoOther

Kicking?*

YesNoOther

Rearing?*

YesNoOther

Cribbing?*

YesNoOther

Windsucking?*

YesNoOther

Separation anxiety?*

YesNoOther

Floats?*

YesNoOther

Leads?*

YesNoOther

Stands for farrier?*

YesNoOther

Stands for grooming?*

YesNoOther

Stands for worming?*

YesNoOther

Stands tied?*

YesNoOther

Gets on with other horses?*

YesNoOther

Can be paddocked with mares?*

YesNoOther

Can be paddocked with geldings?*

YesNoOther

Can be paddocked alone?*

YesNoOther

When we take an equine in, we keep it on our property with our family and other animals. Whether it takes weeks or months to find it a home, we keep the equine with us and incur the cost of it's care and vetting. We very rarely fundraise and pay for our rescue work out of our own pockets. It is partially funded by our adoption fees, but this typically does not cover all of our expenses during the year.

Amount of donation offered to help us cover the cost of vetting/caring for this equine? (Not necessary, but very appreciated)

Please take 3 good quality, well-lit photographs of the animal and email them to us at woodfordhorserescue2021@gmail.com with your name and the animal's name in the subject of the email. If you have any videos of the equine, please send us the links to them on youtube or via messenger.

Release of equine: By choosing 'yes', you agree to relinquish your ownership of the specified equine to Woodford Horse Rescue. You understand that Woodford Horse Rescue is now the legal owner of the equine and they have the authority to rehome the horse/pony to whomever they see fit.

* Applicants must be 18yrs + to surrender a horse/pony. If you are under 18yrs, you must have a guardian/adult fill in the contract.

Release of equine*

YesOther

Woodford Horse Rescue

Equine Surrender/Intake Request