adoption application

Name

Age of Applicant (required)

Physical Address (required)

City, Sate, Zip(required)

Mailing Address if different

Phone(required)

Email(required)

Work Phone

Driver's License Number ( will require a copy with the application)

Please describe the experience of the applicant and any person who will be caring for the horse on a regular basis *(required)

Please describe experience working with horses who are nutritionally, emotionally or physically challenged : *(required)

Please describe your riding experience * (required)

Do you have training experience? Please provide details * (required)

Please describe the horses you have, and how long you have had them *(required)

Do you have experience specifically with Arabians? * If so please provide details.(required)

What type of shelter do you have for your horses?(required)

What type of fencing do you have for your horses?(required)

According to the law, you are responsible for providing the proper care and maintenance of any horse in your possession. This includes providing appropriate year round shelter, free access to water, proper feed, inoculations, dental care, hoof care and worming. You are also responsible for providing veterinary care as necessary in the event of illness or an accident. If for whatever reason you can no longer provide care for your horse you agree to inform the rescue, and if needed surrender the horse back to the rescue, or allow the rescue to find the horse a new home. If you agree to these terms please type yes bellow.(required)

References: Provide at least three references below not directly related to you. At least one of the three references must be a licensed veterinarian. VET First .. Need name, address, town, zip and contact phone number *Veterinarian* (include clinic name, address, and phone number)(required)

Farrier Reference 2* (required)

Reference 3* (required)

Signature / Date*(required)

The ESIGN Act is a federal law passed in 2000. It grants legal recognition to electronic signatures and records if all parties to a contract choose to use electronic documents and to sign them electronically. … No contract, signature, or record shall be denied legal effect solely because it is in electronic form.

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