Adoption Application HHHP Horse Adoption Application Name of Applicant:* First Last Date:* MM slash DD slash YYYY Address:* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Best phone to contact you:*Email: I am interested in adopting:*Indicate by name the specific animal you are interested in. If you rent your home(and the horse will be located there):Landlord's Name* First Last Landlord’s Phone*PLEASE BRIEFLY DESCRIBE YOUR EXPERIENCE WITH EQUINE:General Experience:*How many equines and other livestock do you have currently and where are they housed?EQUINE/LIVESTOCK MANAGEMENT PRACTICES:Please indicate who will be primarily responsible for feeding and providing basic care of this horse? What is your feed practice?What vaccines/coggins protocol do you follow, if any?Please briefly describe your parasite control practices and hoof care practices for your equine:How do you handle equine dental care?Where will this horse/s be housed?Stalled or pasture board? If boarded, please provide the name, address and appropriate pone number for the facility. What type/length or turnout? What is your riding experience/level?If you are adopting for someone else (a child), what is the rider’s experience/level? Beginner, advanced beginner, intermediate, advanced, etc.If you are looking for a child, how old is that child, how long have they been riding and what are they currently doing in a riding program?What type of riding do you wish to do with this horse and what are you looking for from a horse right now?Do you intend to work with a trainer? If so, who and what are your training goals?Do you desire to show this horse or involve them in some other organized program? If so, please describe.If the equine you adopt were to reproduce(understanding that our contract prohibits breeding), what would you do with the offspring?Current Veterinarian:* Name Phone Current Farrier:* Name Phone Please provide one reference that can speak to your horse experience/care:* Name Phone In the past five years, have you given away or sold any equine?(Please explain)In the past five years, have you had any equine die while in your care?(Please explain)Have you ever been issued a warning or citation for any animal related violations?If so, please describe when, from whom, and was it a warning or citation?Consent* I CERTIFY THAT THE ABOVE IS TRUE AND THAT FALSE INFORMATION MAY RESULT IN NULLIFYING THIS ADOPTION APPLICATION. IF I VIOLATE ANY TERM OF THIS AGREEMENT, INCLUDING ANY MISPRESENTATION TO HHHP, HHHP MAY REQUEST THE RETURN OF THE ANIMAL OR WITHOUT NOTICE OR LIABILITY, ENTER MY PROPERTY AND REPOSSESS IT. I FURTHER UNDERSTAND THAT THE PLACEMENT OF ANY EQUINE THROUGH HHHP INCLUDES A CONTRACT THAT WILL NOT ALLOW ME TO REHOME SAID EQUINE, IT MUST BE RETURNED TO HHHP IF I AM NOT ABLE TO CONTINUE TO KEEP OR CARE FOR THE ADOPTED EQUINE.HHHP will need to inspect your facility/property before a decision is made relating to the adoption of an equine or farm animal. In submitting this application, you give HHHP permission to access your property with notice and at a mutually agreeable time, without violating trespassing laws. If you are using a boarding facility, you understand HHHP will contact for a site visit and HHHP will require a signed boarding contract prior to completing an adoption. HHHP reserves the right to refuse ANY adoption at ANY time for ANY reason. CAPTCHANameThis field is for validation purposes and should be left unchanged.
