| Name: |
|
| Address: |
|
| City: |
|
| State: |
|
| Zip: |
|
| Email: |
|
| Phone: |
|
| What is
the intended use for this horse? |
|
| Will the
horse be stabled on your own property or boarded out? |
|
| If on
your property, how many acres will the horse be pastured on? |
|
| Total
number of horses on this property? |
|
| Is the
property where the horse will be stabled the same as the address
above? |
|
| If not,
what is the address? |
|
If
boarded on someone else's property, we need the following
information... |
| Name of
boarding facility: |
|
| Name of
owner of boarding facility: |
|
| Phone: |
|
| What shelter
do you have for the horse? ie. barn, run-in shed, etc. |
|
| If you
have a barn, please give number of stalls; size of stalls: |
|
| How many
horses do you currently own? |
|
| Have you
sold any horses in the past five years? |
|
| If yes,
why were they sold? |
|
| Please
list the name of your Veterinarian: |
|
| Veterinarian's
phone number (with area code) |
|
| Please
list the name of your Farrier: |
|
| Farrier's
phone number (with area code) |
|
| What is
your experience with horses? |
|
| Describe
the type of horse you are seeking (ie. size, sex, temperament,
etc.) |
|
| If there
is a specific animal that has been posted that you'd like to
adopt, please list here: |
|
Please
list two references familiar with your care of and experience
with horses: |
| Reference
#1 Name: |
|
| Reference
#1 Phone: |
|
| Reference
#2 Name: |
|
| Reference
#2 Phone: |
|
| Questions/Comments: |
|
|
