| First Name: * | |
| Last Name: * | |
| Full Mailing Address (include city, state, zip): * | |
| E-mail Address: * | |
| Phone Number: * | |
| Email address | |
| Are you over 18? * | Yes No |
| Have you owned a horse before? * | Yes No |
| If so, please tell us more about your experience: | |
| Do you have other animals? * | Yes No |
| If yes, please tell us about your other animals: | |
| Have you ever adopted a horse from a rescue or animal protection agency? * | Yes No |
| If yes, which one? Please provide their contact information. Where is that horse now? | |
| Who will be the primary care taker of this horse? * | |
| What do you consider your level of expertise in caring/working with horses? * | Beginner: New around horses, comfortable riding at a walk, limited - no horse care knowledge Advanced Beginner: Comfortable at walk and trot, limited knowledge, but can recognize signs of illness Intermediate: Comfortable at all gaits, can handle horses that test rider, able to treat minor wounds Experienced: Comfortable handling difficult horses in various environments / situations Very Experienced: Previous experience training horses and / or in handling green horses |
| What practice(s) do you employ when correcting negative behaviors? * | |
| What is the intended use for this horse? (select all that apply) * | Pleasure Trail Riding Lesson Program Dressage Eventing Hunters Jumpers Fox Hunting 4-H Pony Club Barrels Roping Team Penning Western Pleasure Fox Hunting Other |
| Are you applying for a specific horse? Yes/No - If yes, please provide the horses name. * | |
| If the specific horse you are applying for is not available or won't meet your needs, would you consider another horse? * | Yes No |
| Will you accept a horse with a limitation, but one still suitable for the intended purpose? * | Yes No |
| Horses with limitations often have shorter rideable years, and its HorseNets goal to re-home our horses for the rest of their lives as being moved from home to home can be stressful both physically and mentally. In the event you were told by your vet after 1 week or 10 years the horse could no longer be ridden for whatever reason or the person riding the horse lost interest or went off to college, what would you do with the horse? * | Nothing, I adopted this horse and made the commitment so it will stay with me until it passes away. Return the horse to HorseNet since it can no longer fulfill my needs. |
| Do you plan to work with a trainer? Yes/No - If yes, please provide the trainers name and phone number. * | |
| Where will this horse be kept? * | My Farm Boarding Facility |
| If boarding stable, please provide the barn onwers/manager's name and phone number, and the full address (include city, state, zip) of the facility: | |
| Will the horse be full or field boarded? * | |
| If not full or field boarded, please provide details of the stabling arrangements you plan to provide: | |
| Are you financially prepared to provide proper veterinary, farrier, emergency care, etc.? * | Yes No |
| Have you or any member of your family / household been accused, issued a warning / citation, or been convicted of any crime including animal cruelty, negligent care of animals or other humane violations? * | Yes No |
| If yes, please explain: | |
| Have you ever sold a horse to auction? * | Yes No |
| If yes, please explain: | |
| Please provide your Veterinarians name and phone number: * | |
| Please provide your Farriers name and phone number: * | |
| Please provide names, phones number, and email addresses of 3 personal (no family members) references: * | |
| Is there anything else you want us to know / take into consideration when processing your application? If yes, please explain: | |
| In submitting this form you agree to / understand the following: 1. HorseNet retains co-ownership of all adopted equines (no breed, registration papers, or contact information of the former owner will be provided to the Adopter), and the right to unilaterally seize the horse upon our determination that said horse is not being properly cared for, including neglect, physical abuse or mental abuse. 2. Any adopted horses found being abused or neglected will immediately be seized, returned to HorseNet, and we will prosecute to the fullest extent of the law. 3. If for any reason Adopter is unable to care for the horse it must be returned directly to HorseNet at the Adopters expense - Adoption Fees are not refundable and any expenses incurred since adoption are not reimbursable; it cannot be sold, given away, reassigned ownership or dispose of, and any violation of these terms will be prosecute to the fullest extent of the law for theft. 4. HorseNet reserves the right to conduct unannounced inspections to check welfare/condition of the horse. 5. Adopter agrees to provide proper care and ongoing maintenance, to include, but not limited to year round shelter, free access to clean water, proper feed, inoculations, dental care, hoof care, worming, etc., and veterinary care above and beyond in the event of illness, injury or accident. Have you read and do you understand all the terms stated above? * |
| Yes, I have read and understand the stated terms. |
| By typing your name in the box, you have digitally signed this application and swear that all information is true and accurate as you have stated it: * | |
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| * Required | |