Refuge Ranch Ministries                                

                                        Pre-Adoption Application

Your Full Name:______________________________________________

Address:___________________________________________________________________________

City/State/Zip:_______________________________________________________________________

Preferred Phone Number:_____________________________Email:____________________________

Please give a brief summary of your prior horse experience:

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Where will the horse reside and who will be taking care of the horse (include equine professionals, trainers, veterinarians, farriers etc.)  What type of fencing and shelter will be used?  What is your current feed regime (how often, types of hay/grain, access to water etc.) Use additional space if needed:

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What are your plans with the horse (pasture mate, trail riding, gaming, showing, driving etc):

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Please list three references (horse care professionals preferred):

Name:____________________________Association:_____________________________

Phone #:__________________________ Address:_________________________________

Name:____________________________Association:_____________________________

Phone #:__________________________ Address:_________________________________

Name:____________________________Association:_____________________________

Phone #:__________________________ Address:_________________________________