Adoption Application
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Name: _______________________________ Home Phone: _______________________ Work Phone: _______________________ Address: _____________________________ City: _______________________
State: _____ Zip:
_____________ Email Address:
Previous Address (if less than 3 years): _______________________________________________________________________ Employer: ________________________________________ Phone #________________ Annual
Income: Self: __________ Household: _____________ About
You: Do You? Rent
Own
Live w/ Parents: Landlord’s Name: ___________________________
Landlord’s Phone #: ____________ Do you currently own a horse? Yes: No: What is your price range for adopting a horse (what is your budget)? From $______ to
$_______ Describe your experience with horses (riding/handling/training): What do
you plan to do with the horse you adopt from Mustang-Spirit? Why do you want to adopt a horse? You understand and agree that no horse adopted from Mustang-Spirit
be used for breeding? Yes: Initial: __________ About the Horse you hope to adopt Name of
horse you wish to be considered for:
If there is no particular horse that you have chosen, please give us as much information to help
us find you the perfect match: Do you prefer a certain horse or a certain
type of horse? Yes:
No: What horse or type of horse would you like? _________________________________ Do you have specific height, weight, sex or performance requirements? What are they? What are your riding skills (Beg., Int., Adv.)?
Who will be the primary rider of the horse?
____________________________________ Would you consider a horse with special
needs (please keep in mind that with rescuing horses comes a high chance that there could be emotional or physical problems,
so consider this question carefully)? Yes:
No: List all type of limited needs that you are not willing to take:
About
where the horses will be kept Will the horse be kept on your property?Yes:
_____ No: _____ Describe where the horse will be kept (structure/shelter/other horses/security) If the horse will be kept at a boarding facility, please tell
us where the horse will be Housed? Name of Facility: ________________________________________________________________________ Address: ________________________________________________________________________ Phone #: _______________________ Contact Person: ___________________________ When will it be convenient
to visit this facility? ___________________________ Who will
feed the horse? ____________________ How often will it be fed? __________ Who will exercise the horse? _________________ How often? ________________ Describe your plans to care for horse during
vacation: ________________________________________________________________________ Who is or will be your: Veterinarian? _______________________ Phone #: _______________ Farrier?
____________________________ Phone #: _______________ Trainer? ___________________________ Phone #: _______________ How frequently do you think you should worm
________ trim hooves _________ float teeth _________ vaccinate ________ Please provide three
references: Name: _________________________________
Phone #: ____________________ Address: ______________________________________________________________ Name: _________________________________ Phone #:
____________________ Address: ______________________________________________________________ Name: _________________________________ Phone #: ____________________ Address: ______________________________________________________________ Have
you ever been issued a warning or citation for humane violations? Yes No If yes, please explain the disposition:
Other considerations or comments: I certify that all the information contained herein is
true and correct: Signature: _________________________________________
Date: ______________ I certify that I am over 18 years of age:
(initial) Signature: _________________________________________
Date: ______________ I certify that I am over 18 years of age:
(initial) PO
Box 290640 Phelan, CA 92329 (760) 807-7558 *Note, by signing this contract, you are releasing Mustang-Spirit and it’s foster
home volunteers from liability for any injury or loss when on their property. Horses are animals and injury
can occur when handling, riding and working with these animals. This release of liability will be in effect
for signer and family when applicable. This will remain in effect until signer gives written notice.
Each individual not related to signer should complete a separate release form. |
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