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Page 1 of 4

Adoption Application
Applicant Name:(*)
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Address:(*)
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City:(*)
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State:(*)
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Zip Code:(*)
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Home Phone:(*)
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Cell Phone:
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Work Phone:(*)
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Fax Number:
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Occupation:(*)
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Email:(*)
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Horse Preferences

What type of horse are you specifically interested in?

Age:
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Breed:
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Height:
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Applicant Information

Briefly describe your riding experience:
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How will you use your horse:
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On average how many days per week will this horse be ridden:
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Have you ever owned a horse before:
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If no, have you ever been responsible for another's horse, and if so for how long and under what circumstances:
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If yes, do you still have horse(s):
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List horses you now have, their names, ages, and uses:
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Stabling Information

This horse will be stabled at:
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Name of Facility:
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Address:
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City:
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State:
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Zip Code:
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Phone:
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Name of Contact Person:
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Name of Veterinarian:
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Phone:
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Name of Farrier:
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Phone:
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Is there a shade structure:
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Description:
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Type of Shelter

Barn Size:
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Box Stall Size:
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Run In Shed:
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Please indicate the size of the turnout area:
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How long will your horse be turned out each day:
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Applicant References

Name of your present horse veterinarian:
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Phone:
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How long have you used this vet:
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Name of your present small animal veterinarian:
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Phone:
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How long have you used this vet:
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Name of your farrier:
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Phone:
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How long have you used this farrier:
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Name of trainer (if applicable):
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Phone:
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How long have you been working with this trainer:
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Personal References

Name:
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Phone:
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How long have you known this person:
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In what capacity:
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Name:
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Phone:
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How long have you known this person:
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In what capacity:
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Name:
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Phone:
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How long have you known this person:
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In what capacity:
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