Safe Horse Auction Buyer/Adopter Application
Email address *
About our application process:
When contacting professional references, we will seek verification that current equines are up to date for negative Coggins, have received standard vaccines and get regular farrier care. If you administer your own vaccinations, you will be asked to provide a receipt or shipping manifest showing proof of vaccinations purchased. If you board at a commercial boarding facility, they must require boarders to provide proof of current negative Coggins and vaccines.

Please answer all questions. Incomplete or blank answers or incorrect phone numbers will slow the approval process. If the question is not applicable to you, enter "N/A".
First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone Number
Your answer
Mobile Phone Number
Your answer
E-mail Address *
Your answer
How long have you lived at the present address?
Your answer
Employer
Your answer
Employer Phone Number
Your answer
How old are you?
Your answer
What type of equine are you looking for? (Check all that apply)
What is your intended use for your new equine?
Your answer
List the name(s) of any particular horse(s) that we have that you may be interested in. (This is for information for type of horse that interests you only...no promise of the availability of that horse is made.)
Your answer
Have you previously owned and/or cared for a horse?
If yes, how many?
Your answer
How many equines do you currently own?
Your answer
How much and what type of experience do you have with horses?
Your answer
Will you be boarding the horse or keeping it at your residence/farm?
Please completely answer the following four questions describing where your horse will be kept:
Type of barn/shelter *
Your answer
Horse paddock/pasture description and number of acres of fenced horse pasture/paddocks *
Your answer
Type of Fencing for Horse Pastures & Paddocks *
Your answer
Type of water supply in pastures & shelters *
Your answer
The horse will be kept at the following physical address: *
Your answer
If Boarding, name of facility:
Your answer
Boarding Facility Phone Number
Your answer
How many horses and other equines are currently on the property?
Your answer
Are there any stallions?
How often will your horse be fed?
Your answer
Will the horse have a separate enclosed area to eat?
What feed, supplements & hay do you normally use?
Your answer
Who will feed when the caretaker is not available?
Your answer
If you will be using this horse for riding, please list the names, ages, weight and height of the people who will be riding the horse.
Your answer
Equine Veterinarian's Full Name *
Your answer
Equine Veterinarian Phone Number *
Your answer
How long have you used this veterinarian?
Your answer
Farrier's Full Name *
Your answer
Farrier Phone Number *
Your answer
How long have you used this farrier?
Your answer
If you do not currently have a large animal vet, please supply the complete name and phone number of your small animal veterinarian.
Your answer
Personal Reference 1
Your answer
Personal Reference 1 Phone Number
Your answer
Personal Reference 2
Your answer
Personal Reference 2 Phone Number
Your answer
We DO check references, so please inform your vet, farrier and references that one of our representatives will be contacting them and give your permission for them to answer our questions.
Digital Signature *
Your answer
Today's Date *
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Thank you for your interest in fostering or adopting a horse from Mississippi Horses Rescue or buying a horse at The Safe Horse Auction. Your application will be reviewed and we will contact you soon.
Please feel free to contact us if you have any questions.
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