Adoption Application
Please answer all questions as completely as you can. All questions must have a response on the lines offered. If you do not know the answer to the question "NO" is acceptable. Don't hesitate to call or email us should you have a question on an answer. We will always provide educational information before or at time of Adoption.
* We also provide educational pamphlet to anyone who wants one.
Sign in to Google to save your progress. Learn more
Name of Equine *
Name *
Address *
City *
State and Zip Code *
Email *
Phone # *
Secondary Phone
Place of Employment *
Employment Address *
Years of Employment *
Contact Reference (Name, Phone #, Address) *
Veterinarian Name *
Veterinarian Phone# *
Farrier Name  *
Farrier Phone # *
Will this be your first horse to own? *
How many horses do you own at this time? *
How much pasture is available to your horses at this time? *
Are you planning to board only? *
If you currently own horses, please tell us what breed they are. *
What do you use your horses for? *
If you do not own horses at this time, why? *
If Adoption is completed, will this horse be kept on your property? *
If no, will the horse have 24/7 coverage for care and emergency?
If kept at another address, fill in Name, Address, Phone # of Land Owner.
A&A Horse Haven may have a representative do a facility visit before adoption is complete. Do you have a problem with a site visit? *
Describe the pasture, fencing, and shelters that will be available for your horse.
 *
Currently, do you have any stallions on the property? If yes, what is the plan to introduce the new horse, and separate the stallion(s) from the new horse and keeping them apart?
 *
Who will be responsible for the daily care, feeding and watering your horse? ( Name, Address, Phone #)
 *
Who will be responsible for care if you are unavailable? (Vacation or illness) (Name, Phone #, Address)
 *
Who will be responsible for daily feeding? *
What will be the feeding schedule? *
How often will the horse be fed grain?  *
What brand/type of grain would you feed? *
What type of hay and forage will be provided? *
What water source would the horse have? *
Will the water be changed daily? *
Will water be available at all times? *
How often will the farrier be scheduled? *
How often do you plan to have the horse's teeth floated? *
How often will your horse receive exercise and what type do you plan to offer your horse?
 *
Please explain your experience with handling, caring for, riding and training of horses?
 *
Mark the following that you can 100% be able to identify in your horse. Looking for the main signs of the following.
 *
Required
If you are going to use this horse for riding and/or trail riding what are the ages of the riders?
 *
Weight Range of riders?
 *
Height Range of riders?
 *
What level rider do you consider yourself?
 *
What level are the other riders?
 *
Have you been charged with Animal Cruelty? *
If yes, you must present date of occurrence, what charges filed, who wrote the citations, and in detail and outcome of incident.
Have you been charged with cruelty to mankind?
 *
Do you have a problem with anger? *
If yes, please describe the situation and outcome in detail.
Reference #1 (Name, Address, Phone #, Relationship, Years of relationship)
 *
Reference # 2 (Name, Address, Phone #, Relationship, Years of relationship)
 *
Equine Professional Reference (Name, Address, Phone #, Relationship, Years of relationship, profession)
 *
Pictures of where the horse will be kept MUST be emailed to aahorsehaven@gmail.com at completion of application or application WILL NOT BE VALID.
 *
I agree and understand that I am applying for adoption of a horse from A&A Horse Haven. I understand that I must complete the application form and have my home or boarding facility evaluated and approved by a representative of A&A Horse Haven before allowed to adopt a horse from A&A Horse Haven. I understand that this is just an application and does not guarantee me a complete adoption of desired horse. I understand that I may not be eligible to adopt the horse that I am interested in for various reasons.
 *
If approved for adoption, I understand that I will be subject to home visits in accordance with A&A Horse Haven and their policy. I also understand that in accordance with adoption policy, I may never sell, trade, give away, lease out, send to slaughter, the horse.
 *
I agree that I WILL have to sign an adoption contract.
 *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms