Age

Are you interested in a specific equine? If so, who?

If you plan on riding your adopted equine, please describe your experience.

Contact Information

When is the best time to reach you?

Employer Name

Length of Employment

Horse Preferences and Interest

Color

Age

Size

Please list all horses you have had within the past 5 years and what happened to them if they are not still with you.

Please list any other animals (dogs, cats, chickens, goats, etc.) you have.

Stabling Information

Name of Facility

Name of Contact Person

Who will be the primary caretaker of the adopted equine and how many years of experience do they have personally caring for equines?

Will the adopted equine be stalled? If so, what size is the stall?

Will the adopted equine have access to a run-in? If so, please describe the building.

What type of fencing encloses the turnout area?

What is the approximate acreage of the turnout area?

How many horses will be turned out in the same area as the adopted equine?

Where will the hay for the adopted equine be kept, and how much will be available to the adopted equine each day?

What is the water source, and how will it be maintained?

Who will care for the adopted equine when you are out of town?

References

Please call your vet to inform them that they will be expecting our call; please authorize your vet to share your information with us. We appreciate their quick response to our call.

Name of your current equine vet

Phone Number

How long have you used this vet?

Name of current small animal vet?

Phone Number

How long have you used this vet?

Name of your farrier?

Phone Number

How long have you used this farrier?

Name of a personal reference

Phone Number

Name of a neighbor

Phone Number

Address

Equine Adoption Interest Form

100 SPANGLERS ROAD, LEWISBERRY, PA 17339