Equine Surrender/transfer Request Form

Name*

First NameLast Name

Organization (for rescue or shelter transfers only)

Email*

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How many equines do you need to surrender/transfer?*

Animal #1 Name:*

Breed(s)*

Color(s)*

Sex*

Age (approximate if unknown)*

Physical Ability, Temperament and Training (select all that apply)*

Do you have a current Coggins test and/or vaccine history for your equine?*

YesNo

Please upload the Coggins certificate and vaccine history

Name and contact number of your veterinarian*

Do you have another equine to surrender/transfer?*

YesNo

Animal #2 Name, Sex, Age, Breed:

Animal #3 Name, Sex, Age, Breed:

Animal #4 Name, Sex, Age, Breed:

Animal #5 Name, Sex, Age, Breed:

Animal #6 Name, Sex, Age, Breed:

Animal #7 Name, Sex, Age, Breed:

Animal #8 Name, Sex, Age, Breed:

Animal #9 Name, Sex, Age, Breed:

Animal #10 Name, Sex, Age, Breed:

What is your reason for requesting surrender/transfer? (We collect this information for reporting and compliance purposes.)*

Select all that apply

Is there anything else you can share about your equine's history and/or the situation necessitating surrender/transfer?*

RESCUE TRANSFERS PLEASE TYPE N/A

READ IN FULL:

I hereby certify that I am the rightful guardian of the equine(s) who is/are the subject of this Equine Surrender Form, hereinafter referred to as “the equine(s).”

I certify that no other person has a right of property to the equine(s).

I have disclosed all material information regarding the medical and behavioral history of the equine(s).

I will willfully surrender all medical records and information pertaining to the equine(s).

I have granted permission to contact my veterinarian for any necessary information pertaining to the equine(s) and I hereby consent to the release of any and all medical information by any medical provider.

I understand that once I relinquish the animal, the animal will not be available to be returned to me and Red Feather Equine Sanctuary has no obligation to follow up with information about the equine(s).

I understand that at its sole discretion, Red Feather Equine Sanctuary may elect to either place into foster care or adopt the equine(s) to a pre-screened and qualified home.

I understand that if my equine is accepted by Red Feather, I will surrender any and all property rights to the equine(s) to Red Feather Equine Sanctuary.

I hereby release and forever discharge Red Feather Equine Sanctuary from any and all rights, claims, obligations, liabilities, and causes of action whatsoever arising out of or relating to the ownership, possession, or disposition of the equine(s), and I agree to indemnify and hold harmless Red Feather Equine Sanctuary from and against any and all such rights, claims, obligations, liabilities, and causes of action which may be asserted by third parties.

Are you able to offer a donation to help us cover the cost of vetting/caring for this equine?*

YesNo

If yes, please specify the amount

Please upload photos and any veterinary records you have for your equine, if available

By signing here, you agree that you have read, understood, and agree to enter into & fully abide by ALL terms and conditions of this Agreement. You further certify that your statements in this Agreement are true and correct.*

Equine Surrender/Transfer Request

Your Information

About Your Animal(s)

Terms and Conditions

READ IN FULL: