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Lollypop Farm Equine Interest Adoption Survey
Thank you for your interest in adoption! Please fill out this information so we can help match you with your right horse. Once you find your right horse, you will be provided with an adoption contract. We look forward to welcoming you to our program and introducing you to horses.
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Email
*
Your email
Name - First and Last
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Are you over the age of 18?
Yes
No
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Comments
Your answer
Identify the type of equine you are interested:
Horse
Pony/Miniature Horse
Donkey
Mule
Other:
If you are interested in a specific equine, please list names:
Your answer
What are your goals with your adopted equine (companion, riding-type of riding)?
Your answer
Tell us a little about your horse handling experience.
Your answer
If you plan on riding your adopter horse, which level bests matches your ability?
Beginner – Has very little, if any, experience riding/handling horses.
Advanced Beginner – Is able to apply basic aids, and is comfortable at walk & posting trot on a quiet, reliable mount.
Intermediate – Is confident riding at the walk, trot, and canter on a quiet, reliable mount.
Advanced Intermediate – Is riding at the walk, trot, and canter regularly, and knows how to communicate with the horse effectively. They can handle occasional spookiness, or horses that are a bit fresh.
Advanced – Has a confident, independent seat, soft hands, and can handle a spirited or spooky horse.
Trainer – Is highly skilled, able train horses from untrained to fully rideable, and can handle young and/or difficult horses
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Tell us a little about your horse ownership experience.
Your answer
Do you have a veterinarian and farrier currently? If not, we can help you find one.
Yes
No
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Veterinarian:
Your answer
Farrier:
Your answer
Where do you plan to keep your horse?
Your answer
In what timeframe would you like to adopt?
Your answer
What other information would you like us to know as we get to know each other so we can best help you find your right horse?
Your answer
How did you hear about our equine adoption program?
Your answer
Send me a copy of my responses.
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This form was created inside of Lollypop Farm, the Humane Society of Greater Rochester.
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