Copy application and fill in using Microsoft Word, Save and attach to e-mail send to  
horsehelpers@yahoo.com
You can also copy and print the application to send it in the mail to
5236 International Ave Mims Fl 32754






Helpers, Organizing, Rescue, Service, Education
Nonprofit 501 (c) Organization 5236 International Ave Mims Fl 32754
Phone 321- 383-9636 e-mail horsehelpers@yahoo.com/website www.horseincorp.org

H.O.R.S.E. INC.  Pre-Adoption Application

Name:___________________________________________________________

My Tele#  ________________________e-mail___________________________

Address:__________________________________________________________

REFERENCES:
1._______________________________________________________________

Telephone_______________________
2.________________________________________________________________
Telephone_______________________
Place of Employment_______________________________________________________
Amount of time employed at this job.___________________________________________
Have you ever been charged with any type of Animal Abuse/Neglect?  No _____Yes _____

Have you ever been charged with any type of Domestic Violence?        No _____Yes _____

Have you ever been charged with any type of Child Abuse/Neglect?     No _____ Yes_____
If these questions are answered untruth fully and found to be untruthful at a later date, H.O.R.S.E. Inc has the legal
right to remove said horse from adopter’s possession.


Have you ever been responsible for the care of a horse(s) before?________________________
If so how long ago and under what circumstances?
_________________________________________________________________

I currently own a horse_____ burro____ I have ____ have not owned a horse_____burro_____

Total number of horses on property? ________________Breed and Sex of other horses:

_________________________________________________________________________
_________________________________________________________________________
If you have sold or given away any horses in the past, please explain why and when.
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________






Helpers, Organizing, Rescue, Service, Education
Nonprofit 501 (c) Organization 5236 International Ave Mims Fl 32754
Phone 321- 383-9636 e-mail horsehelpers@yahoo.com/website www.horseincorp.org

H.O.R.S.E. INC.  Pre-Adoption Application

My riding level-Beginner___________ Intermediate____________ Advanced__________
Number of years riding______________ Type of riding____________________________
_________________________________________________________________________
_________________________________________________________________________

Approximate height ________ and weight________ of person that will be riding horse. This information is needed to
make sure the horse is correct size for rider.)

The equine veterinarian who will care for this animal is:  

Address __________________________________Telephone_____________

Size of Pasture__________________________________________________

Type Fencing __________________________________________________

The type of corral or stall which will be provided is:
_____________________________________________________________

Size_________________________

I will board this animal at above residence __________________________________________________________

Or Boarding Stable- Name _______________________________________________________________________

Telephone ___________________________Business hours_______________

The daily feeding will be done by ___________________________  

The boarding facility is ________miles from my residence.

The training will be done by _________________________Telephone__________________

If you are the trainer please tell us what training experience you have, how many horses have you worked with.
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________





Helpers, Organizing, Rescue, Service, Education
Nonprofit 501 (c) Organization 5236 International Ave Mims Fl 32754
Phone 321- 383-9636 e-mail horsehelpers@yahoo.com/website www.horseincorp.org

H.O.R.S.E. INC.  Pre-Adoption Application

H.O.R.S.E. INC. description of Transferred animal: Name: ______________________________

Breed:____________________   Sex: ____________________   Age:_____________________

Color: _____________________________   Adoption Fee ______________________________

It is agreed that if said animal is offered for sale that H.O.R.S.E. INC. will be notified and given First Right of Refusal.
Mares will not be breed. It is also agreed that this animal will only be transferred privately and will not be resold at any
kind of auction or to a horse broker, feedlot or slaughter destination and that this same agreement will be signed by
any and all prospective owners and a copy mailed to H.O.R.S.E. INC. 5236 International Ave Mims Fl 32754 to be kept
on file. Adopted horse will have annual vaccinations, regular farrier care, as needed dental care and any needed
medical care .

If  at a later date the adopted horse is found in a Neglected or Abused state the said horse will be removed from
adopter by H.O.R.S.E. Inc. and adoption agreement will be void and invalid ownership of said horse will return to H.O.R.
S.E. Inc. Adoption Fee will not be returned.

If any information was knowingly False Fully written on this adoption application at time of adoption and is found to be
untruthfully at a later date, H.O.R.S.E. Inc. has the legal right to remove the adopted horse from possession of adopter.
Adoption Fee will not be returned.

Adopter must be at least 18 years of age to legally sign agreement.


The above offer is accepted by H.O.R.S.E. INC.

Signed_________________________________________

Date______________

The above offer is accepted by owner.

Signed_________________________________________

Date_______________