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.
Sign in to Google to save your progress. Learn more
Email *
Name - First and Last *
Address *
Phone Number *
Are you over the age of 18?
Clear selection
Identify the type of equine you are interested:
If you are interested in a specific equine, please list names:
 What are your goals with your adopted equine (companion, riding-type of riding)?
Tell us a little about your horse handling experience.
If you plan on riding your adopter horse, which level bests matches your ability?
Clear selection
Tell us a little about your horse ownership experience.
Do you have a veterinarian and farrier currently? If not, we can help you find one.
Clear selection
Where do you plan to keep your horse?
In what timeframe would you like to adopt?
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?
How did you hear about our equine adoption program?
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lollypop Farm, the Humane Society of Greater Rochester. Report Abuse