Equine Foster/Adopt Applicaton
All information is confidential and will be viewed by H4H Animal Rescue Personnel only.
Check One
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Foster Application
Adoption Application
Equine's Name
Name
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First Name
Last Name
Phone Number
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-
Area Code
Phone Number
Driver's License Number
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Date of Birth
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-
Month
-
Day
Year
Date
Email
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example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is the above address the location where the equine will be kept?
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Yes
No
Address where equine will be kept
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Alternate Contact Info (family member not in same household)
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Address of Family Contact
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number of Family Contact
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-
Area Code
Phone Number
Veterinarian's Name
*
Veterinarian's Phone Number
*
-
Area Code
Phone Number
Are you currently using this vet?
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Yes
No
Farrier's Name
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Farrier's Phone Number
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-
Area Code
Phone Number
Personal Reference (someone not related to you)
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Personal Reference Phone Number
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-
Area Code
Phone Number
What do you plan on using this equine for?
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How much time per week do you plan on spending with equine?
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If the equine is rideable, how often each week and for how long do you plan on riding?
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Do you currently own any equines?
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Yes
No
How many do you own?
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Date of last vaccines?
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What vaccines were given?
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Date equines were last dewormed?
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What product was used?
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If you do not currently have any equines have you previously owned?
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Yes
No
Please explain why you no longer have the equine(s) and how long you owned it/them.
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Have you ever administered medication(s) for an equine?
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Yes
No
Please explain
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Do you have any experience with hoof care such as an abscess, thrush, etc.?
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Yes
No
Please explain
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In the past 5 years, have you given away or sold any equines?
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Yes
No
Please explain
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In the past five years, have you had any equines pass on while in your care?
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Yes
No
Please explain
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Explain your experience with handling, caring for, and/or training equines
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Who will be feeding the equine?
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How often?
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Will the equine have access to a barn?
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Yes
No
What size are the stalls?
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How often will they be turned out?
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What size is the paddock or pasture?
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How many equines are in the paddock/pasture at one time?
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Is there shelter in the paddock/pasture?
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Yes
No
What type of shelter and size?
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Type of fencing surrounding paddock/pasture
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By typing your full first and last name below, you are certifying that above information is true and correct to the best of your knowledge.
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First Name
Last Name
All Finished!
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