Application to Adopt an Equine
Please complete the application in full
Name of equine (If unknown, please type "Interested in adopting")
*
Reason for adopting
*
Is the equine for yourself?
*
Yes
No
Kindly note:
The application to adopt an equine must be completed by the actual applicant and not by a third-party.
Applicant Details
Name
*
First Name
Last Name
ID Number
*
Please upload a picture of your ID document below
Take Photo
*
Address
*
Farm / Yard Name
Street Address
City
Province
Postal Code
Cell Number
*
-
Area Code
Phone Number
Additional Contact Number
*
-
Area Code
Phone Number
Email
*
example@example.com
What is your occupation?
*
Property Information
Do you own or rent your property
*
Own
Rent
Address where equine will be kept
*
Farm / Yard Name
Street Address
City
Province
Postal Code
Please upload proof of address
Take Photo
*
Equine Adoption Purpose and Experience
Is the equine a replacement for an equine which died from: AHS, Strangles or any other highly contagious disease?
*
Yes
No
Are you aware of the costs involved in caring for an equine?
*
Yes
No
Unsure
Can you afford private equine services (veterinary / farrier)?
*
Yes
No
Unsure
Veterinarian
*
Veterinarian Contact Details
*
-
Area Code
Phone Number
Farrier
*
Farrier Contact Details
*
-
Area Code
Phone Number
Previous Equine Experience
*
Explain what type of roughage and concentrates (if necessary) you would feed the adopted equine
*
Have you previously adopted animals from this or another organisation?
*
Please Select
Yes
No
If YES, do you still have them?
*
Yes
No
If they are no longer with you, what has happened to them?
*
Will this equine be used on a petting farm?
*
Yes
No
Will this equine be used for competitive sport, traction, education or for show purposes?
*
Yes
No
If yes, specify
*
Current Animals and Property Details
Do you currently have any animals?
*
Yes
No
Current Animals
Rows
Species
Breed
Age
Gender
Sterilised
Pet 1
Pet 2
Pet 3
Pet 4
Other
Other
Past Animals (no longer with you) in the past 3 years
*
Rows
Species
Breed
Age
Gender
What happened to them
Pet 1
Pet 2
Pet 3
Pet 4
Other
Other
Where do/or would you keep your equine? Is the area fenced with a proper gate and is adequate shelter and water provided?
*
Full description of fencing, gates and shelter/stables
*
Do any neighbours have stallions?
*
Yes
No
Unsure
Is the fencing between the properties stallion-proof?
*
Yes
No
Declaration and Submission
Declaration
*
The above information is true and correct. I confirm that I have never been convicted nor charged with cruelty or neglect of any animal.
Signature of Applicant
*
Need help with signing? On desktop or laptop, please sign using your mouse. On mobile or tablet, or if you have another touchscreen device, sign with your finger or stylus. Signing might feel unfamiliar, don't feel pushed to rush.
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Minutes
Submit
Submit
Should be Empty: