Horse Adoption Application

Horse Adoption Application
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Application for:
Is there a specific animal that you are interested in?
UntrainedStartedGreenModerate ExperienceWell trained
What is your overall goal for your adopted equine?
How often will the equine be ridden/driven?
How long has the primary rider been riding?
What is the primary rider’s current riding discipline?
Beginner – very little, if any, experience riding/handling horses Trainer – highly skilled, can start & finish horses, can handle young/difficult horsesAdvanced Beginner – able to apply basic aids, comfortable at walk & posting trotIntermediate – confident riding walk, trot, and canter on a quiet, reliable mountAdvanced Intermediate – can W/T/C regularly, jump a course, can communicate with horse effectivelyAdvanced Advanced – confident, independent seat, soft hands, can handle a spirited horseTrainer – highly skilled, can start & finish horses, can handle young/difficult horses
If currently riding, how often?
If there are any, at what level are secondary riders?
Where will this animal be living?
Address of facility

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please list the farm animals you currently own or have owned within the past 5 years.
Who will care for the animal when you are unavailable to do so (vacation, illness, etc.)?
Which veterinarian will you use for equine care?
Phone Number of Vet
Please enter a valid phone number.
What farrier do you intend to use for this animal?
Phone Number of Farrier
Please enter a valid phone number.
Please be sure that you have filled out each question thoroughly and honestly. This information will be used to help provide you with the best possible equine match.
By signing, I affirm that I am 21 years of age or over, and the information contained in this form is true to the best of my knowledge. I understand that if I am approved for adoption, I will be required to make a substantial commitment of time and money for up to 30 years for my new animal. There is an adoption fee if you are chosen and a non refundable application fee of $10.00

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Application Fee

$10.00

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Total

$0.00

Payment Method
Credit

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Signature

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