Adoption Application

Welcome to Sundance Horse Rescue (SHR). Thank you for your interest in our rescued horses. In order to be considered for an adoption of one or more of our horses, you must:

Be 21 years of age
Have the knowledge and consent of all adults living in your household
Have a valid ID with current legal residence address
Have landlords name and telephone number ( or signed lease if you rent )
Have no felonies or misdemeanors for animal or human abuse, neglect or cruelty and no one living with you or within your family or friends, or associates.

Understand that SHR must approve your application and that this application is not a guarantee for one of our horses. We attempt to place horses in the best situation possible for the benefit of the animal. We pair horse and human in their partnership so that the horses benefit comes first and foremost. Your stewardship for the lifetime of this horse must be compatible with the welfare and needs of the horse.

* Indicates required field

Name *

Email *

Address *

City *

State *

Zip *

Cell Phone *

Other Phone *

DOB *

CDL # *

WHAT ARE YOU LOOKING FOR?

1. Which available horse(s) are you interested in?

2. Why are you looking for a horse?

3. Have you owned horse(s) before? If so, what happened to them?

4. Have you adopted an animal from us before? If yes, which one(s)?

5. What background have you had in caring for a horse?

6. Do you want this horse for companion, breeding, competition or other?

7. How much time per week do you plan on spending with this horse?

8. If the horse is ridable, how often each week and for how long do you plan on riding?

9. If you will be using the horse for riding, please list the names, ages and weight of everyone who will be riding in your family:

10. Do you plan on using this horse for commercial purposes? If yes, please explain.

11. Who will be feeding the horse/s?

12. How often do you plan on feeding the horse?

13. How often do you plan on having a farrier trim or shoe the horse? Who is your farrier?

14. How often do you plan on worming the equine?

15. How often do you plan on having a veterinarian visit the equine? Who is your veterinarian?

16. Where will the horse reside?

17. Where will the Horse be kept during the day? ( check all that apply)

Day *

Indoors Outdoors Stable Other

Night *

Indoors Outdoors Stable Other

Please specify if not listed above. *

18. If the equine is in a barn, how often and how many hours will they be turned out?

( SHR requires a turn out of at least 8 hours a day ) *

If the horse is in a barn, SHR requires a stall with outdoor run or similar set up. Is this the case?

19. If the equine will be kept in a pasture, what size is the paddock/pasture?

20. How many other equines are in the paddock/pasture?

21. If you are not available on a daily basis to check your horse(s), please give us the name and phone number of who will be checking them.

22. How many horses do you currently have?

23. a.Date of last vaccination for your equine(s):

Vaccinations received: *

23. b. Date the horse(s) were last dewormed?

What product was used? *

24. Where do you live?

If Other please explain. *

25. If rent, does your landlord allow pets?

Landlords name: *

Phone #: *

26. Do you have a horse fenced yard?

Please explain height and type. *

27. Information about your household:

# of adults, # of children, and ages? *

28. What will you do with your horse if you move in the future?

29. How much do you anticipate spending yearly to feed, vaccinate, train, shoe and provide medical care for your horse?

30. Would you be willing to allow a representative from our organization to visit your home and the place for the housing of the horses before the adoption is completed?

31. What types of pet(s) do you own or have owned in the past 10 years?

32. Do you work? yes/no *

What is your profession: *

Employer: *

For how long: *

33. Do you own a registered, reliable trailer in good condition for trailering your horse? yes/no

34. Do you realize that a horse may live 20 or more years? Are you prepared for this obligation? yes/no

35. And, it may take your new horse two or more weeks to adjust to its new home, especially if other horses are involved. Are you prepared to allow this much time? yes/no

36. Do you have experience in natural horsemanship? yes/no

Explain: *

37. How do you plan to train your horse?

38. If you plan on using the services of a trainer, please provide:

Name: *

Phone: *

Address: *

39. What is your price range for acquiring a new horse?

REQUIRED REFERENCE INFORMATION:

Indicate if you are: currently using this Vet OR this is a new Vet

Equine Veterinarian Reference Name #1: *

Phone: *

Address: *

Equine Veterinarian Reference Name #2: *

Phone: *

Address: *

Equine Professional Reference Name: *

Phone: *

Address: *

Indicate profession: *

Farrier Trainer/Riding Instructor: Breeder Other

If other, please explain: *

I UNDERSTAND that by typing my name exactly as it appears below, it signifies that I am completing this form using an electronic signature and will serve as electronic representation of my signature, just the same as a pen-and-paper signature. By signing electronically, I am certifying that the information I have given is true and complete and that I recognize that any misrepresentation or omission of facts may result in my losing the privilege of adopting or keeping a horse even after the adoption. I authorize investigation of all statements on this application. I understand that this application is property of the SHR.

Signature: *

Date: *

aDOPTION apPLICATION

Adoption Application