Equine Adoption Application 


Please complete the form below

Name *
Address *
1. What type of horse are you looking for? Breed(s):
2. What will the horse be used for? (Please check all that apply)
Checkbox *
4. Would you be willing to adopt a horse with limitations or disabilities (i.e. lameness, injury Etc.)?
5. Will the horse be kept on your property?
If yes describe the area and type of shelter provided: If no list the address and descriptions of boarding facilities:
6. Do you currently own horses?
7. Are there other animals staying on the property?
8. Is a pasture available?
9. Have you ever been issued a warning/citation for Humane Violations against animals?
Will you have someone who will care for this animal when you go on vacation?
Thank you for your interest in adopting from Central Pa Horse Rescue!
Thank you for your interest in adopting from Central Pa Horse Rescue. We will be contacting you soon. Please make sure all contact information is current and correct. All horses in the possession of Central Pa Horse Rescue have come to their facility for numerous reasons. It is the mission of Central Pa Horse Rescue to allow these horses to live a good and healthy life with you for the remainder of the horse's life. For these reasons, the Central Pa Horse Rescue EQUINE RESCUE/ADOPTION AGREEMENT will detail all that is required of you as the adoptee. Prior to adopting a horse from our facility, you must: Be willing to complete this pre-adoptive contract in its entirety in order to be considered to be an adoptive owner of a horse from Central Pa Horse Rescue. Agree to allow Central Pa Horse Rescue and/or its representatives to contact the appropriate individuals noted in this application in order to make an educated determination of these ownership requirements. Be willing to allow Central Pa Horse Rescue and/or its representatives to visit your facility where the horse will be housed prior to adoption in order to determine if you have met all ownership requirements. Pay the nonrefundable pre-adoptive fee of $25.00. (Should you be approved and do adopt a horse, this fee will be placed towards the total adoptive fee).
Reference Information:
By signature, you give permission to your veterinarian, your Farrier and Central Pa Horse Rescue designee to enter into conversation in regards to your history as it relates to your animal care.
Full Name
Full Name
Date 1
Date 1
Pre-Adoptive Fee $ ___ Paid: Yes I No Date:_/ __ Signature of Central Pa Horse Rescue Representative __________ _ Date