1 Horse At A Time Draft Horse Rescue
Adoption Application
Email address *
Date *
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YYYY
Full Name *
Your answer
Phone number *
Your answer
Physical Address *
Your answer
City, State, Zip Code *
Your answer
Mailing Address
Your answer
Are you over 21 years of age *
*We do not adopt to anyone under the age of 21
References
Veterinarian's Name and phone number: (Please call your veterinarian and give them permission to talk with us) *
Your answer
Farrier's Name and Phone number: *
Your answer
Personal Reference #1 Name and Phone number *
Your answer
Personal Reference #2 Name and Phone number *
Your answer
Horse Information
Are you applying for a specific horse?
Horse's name
Your answer
If no, describe the breed or type of horse and particular skills you're looking for.
Your answer
If the horse you are applying for is not available or won't meet your needs, will you consider a different horse?
What is the intended use for this horse? Check all that apply.
Will you accept a horse with a limitation, but one still suitable for the intended purpose? *
Please tell us what your plan is if the horse develops limitations and can no longer be used for the intended purpose. *
Your answer
If you live out of state are you prepared to cover transport costs? (Average cost is $1.00 per mile) *
Do you plan on providing this horse with a forever home? *
Under what circumstances do you feel it is appropriate to rehome an animal? *
Your answer
Horse Ownership Information
Have you owned a horse before?
Have you adopted a horse before *
If yes, please provide the name and phone number of the rescue/person you adopted from.
Your answer
Where is the adopted horse now?
Your answer
Have you owned a Draft horse before? *
How many horses do you currently own
Your answer
If you currently own horses please tell us your current veterinary care program and the schedule for the farrier.
Your answer
If the horse(s) are no longer with you where are they now?
Your answer
Do you own other kinds of animals? If yes, what kind?
Your answer
Who will be responsible for the care/feeding/training of this horse?
Your answer
Who will be the primary handler/rider?
Your answer
What practice do you employ when correcting negative behaviors?
Your answer
Will you be working with a trainer for this horse?
Trainers Name and Phone number:
Your answer
What do you consider your level of expertise in caring/working with horses?
Are you financially prepared to provide proper veterinary, farrier, emergency care, etc.?
Have you or any family member been accused, issued a warning/citation, or been convicted of animal cruelty, negligent care of animals or other humane violations? *
If yes, please explain:
Your answer
Have you ever sold a horse at auction? *
If yes, please explain:
Your answer
Stabling Information
Will the horse be kept at the physical address listed on page 1?
If no, what is the address the horse will be at?
Your answer
What kind of facility is this?
Boarding Facility Manager's Name and Phone:
Your answer
How will the horse be stabled:
If kept in stall, what are the turn out arrangements?
Your answer
Tell us in your own words why you would like to adopt from us and why you think you would make the perfect home for one of our horses. *
Your answer
In submitting this form you agree to/understand the following:
*You agree to: Provide proper care and ongoing maintenance of the horse, to include, but not limited to year round shelter, free access to clean water, proper feed, inoculations, dental care, hoof care, and deworming. You are also responsible for providing veterinary care above and beyond in the event of illness, injury, or accident.
*You agree to: All of these conditions prior to the adoption becoming final, and your signature below, is proof of such agreement.
*You may not: Breed, sell, give away, assign, dispose of, or transfer this horse. If an adopted horse is found to have been sold, given away, assigned, disposed of, or transferred, we will prosecute to the fullest extent of the law for breach of contract.
*If for any reason you are unable to care for and need to return said horse, it must be returned directly to 1 Horse At A Time Draft horse Rescue. No refunds will be given for either the adoption fee or any expenses incurred since adoption. You are responsible for returning the horse at your expense.
*1 Horse At A Time Draft Horse Rescue retains the right to unilaterally seize the horse upon our determination that said horse is not being properly cared for, including neglect, physical abuse or mental abuse. If an adopted horse is found to have been abused or neglected, we will prosecute to the fullest extent of the law following our recovery of the animal.
*1 Horse At A Time Draft Horse Rescue reserves the right to conduct unannounced site inspections to check on the condition of the horse and the stable.
By Signing Below, I certify that the information on the application is true and correct to the best of my knowledge. I give 1 Horse At A Time Draft Horse Rescue, it's officers and agents permission to verify all the information contained herein.
Signature and Date: *
Your answer
A copy of your responses will be emailed to the address you provided.
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