| Personal Information |
| First Name |
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Last Name |
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| Address |
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City, State, Zip |
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| Home Phone |
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Cell Phone |
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| Email |
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Age |
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| Employer Name |
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Length of Employment |
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| Job Title |
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Work Phone |
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| References |
| Ref #1 Name |
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Relationship |
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| Phone |
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Email |
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| Ref #2 Name |
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Relationship |
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| Phone |
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Email |
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| Veterinarian |
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Phone |
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| Farrier |
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Phone |
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| Horse Experience |
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Have you owned a horse before?
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Can you financially support a horse?
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What level rider are you and what kind of riding do you do?
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Are you a "Forever Home" for this horse?
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Do you intend to breed this horse?
What are your plans for the foal?
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How much experience do you have raising, handling and training foals?
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| Horse Keeping |
Do you board your horse? List name of the facility, owner/manager's contact info and if possible the website.
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What is the location where you will be keeping your new horse? Full address and any contact info.
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How much space is available for the horse (acres) and what kind of space is it?
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Please list any other horses that will share this space.
List their gender and age at a minimum.
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Please describe in detail the fencing.
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Please describe in detail any shelter.
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| Misc. Details |
| Horses you are interested in: |
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Do you acknowledge and agree that this horse may have some undisclosed issues that have not been addressed?
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Are you willing to provide the necessary care both physically and financially, (ie. proper vet and farrier care), if this horse does have limitations?
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Have you read and understood the contract that this horse will be adopted under?
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Do you understand and agree that this horse may be returned at any time, but that any adoption fees are non refundable?
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If this horse were advised by the vet to be euthanized or destroyed, what would you do?
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If you could no longer keep this horse, for whatever reason, what would you do?
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Additional Comments...
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