Adoption Application Form

Which Horse are you applying to adopt?

Your Name*

Address*

Telephone*

Email*

Occupation*

Gender*

No Preference

Gelding

Mare

The Horse will be used for:*

Companion horse only (no riding)

Trail/Pleasure riding

Showing/Competing

Therapy Program (i.e. therapeutic riding, EAL, etc.)

Have you owned/leased horses?*

Owned

First Horse

Leased

Other

Provide details on currently owned or leased horses.

What is your experience working with, training and/or riding horses?*

Will you be helped by a trainer or friend? (provide names)

Have you or anyone in your household been convicted of a serious crime or animal cruelty? *

No

If yes please explain in detail:

Where will the horse be housed?*

My Residence/farm

Boarding Facility

Family/Friend Farm

Other

How will the horse be housed:*

Indoor Board

Outdoor Board

Other

Name of boarding facility is applicable

Not Applicable

Boarding facility name and phone number

If bringing horse home, do you own your property?*

Yes, I own

No, I rent

If renting, do you have permission to house horses on the farm?

Yes I have permission

Landlord does not know

Provide Landlord name and phone number for verification

If bringing horse home, how long have you resided at this location?*

Do you have a regular Vet?*

No, need referral

YES, PLEASE provide name and phone number of your vet if applicable

Do you have a regular farrier?*

Yes

No, need referral

YES, PLEASE Provide name and phone number of farrier, if applicable:

Have you ever had to surrender an animal to a shelter or rescue group?*

Yes

No

If Yes please explain:

Why are you interested in adopting from a rescue?

TERMS*

I also understand that Whispering Hearts Horse Rescue Centre has the right to refuse any adoption, for any reason, at any time.

I understand and agree that completion of this adoption application is in NO WAY considered acceptance as an adopter and is used as a tool.

I certify that the above information is true and correct to the best of my knowledge.