| 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_______________ |
