Adoption Application

Angel Acres Horse Haven & Rescue, Inc

APPLICATION FOR ADOPTION

NAME OF ADOPTER: _______________________________________________

ADDRESS: ________________________________________________________

TELEPHONE: ______________________________________________________

EMAIL: ___________________________________________________________

NAME OF HORSE: _________________________________________________

COLOR: __________________________________________________________

SEX: _____________________________________________________________

INTENDED USE FOR HORSE? _______________________________________

_________________________________________________________________

BRIEF EXPERIENCE OF ADOPTER: __________________________________

_________________________________________________________________

DO YOU CURRENTLY HAVE AN EQUINE VET? _______________________

NAME AND PHONE # OF VET: ______________________________________

NAME, ADDRESS, & PHONE NUMBER OF WHERE HORSE WILL BE KEPT:

_________________________________________________________________

APPROXIMATE NUMBER OF HORSES KEPT AT ABOVE LOCATION: ____

WILL THIS HORSE BE KEPT IN PRIMARILY:   (CIRCLE ONE)

          STALL                FIELD WITH RUN IN SHED                      OTHER

WILL HORSE RECEIVE REGULAR TURNOUT? _________________________

APPROXIMATE SIZE OF PADDOCK: _________________________________

TYPE OF FENCING: ________________________________________________

NAME AND PHONE NUMBER OF FARRIER: ___________________________

WILL YOU BE WORKING WITH A TRAINER? __________________________

NAME, ADDRESS & PHONE NUMBER OF TRAINER: ____________________

_________________________________________________________________

DO YOU AGREE TO ABIDE BY THE ANGEL ACRES NO BREEDING POLICY FOR YOUR

HORSE SHOULD YOU ADOPT A MARE? ____________________________________

___________________________________________________________________

WILL YOU ALLOW AN ANGEL ACRES RESPRESENTATIVE TO INSPECT THE FACILITY

WHERE YOUR HORSE WILL BE HOUSED?  _________________________________

___________________________________________________________________

NAME & PHONE NUMBER OF 3 PERSONAL REFERENCES:

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

SIGNED ___________________________________  DATE: ________________

BY: ______________________________________________________________

 (PRINT NAME)