| Name * |
|
| E-mail Address * |
|
| Phone number (with city and area codes): * |
|
| Full mailing address (with city, state and ZIP): * |
|
| Full address where animal will live (with city, state and ZIP): * |
|
| Do you rent or own? |
|
| If renting, does your lease permit equines? |
|
| Will the equine be boarded? |
|
| If yes, please provide the address of the boarding stable (include city, state and ZIP) |
|
| Boarding stable phone number: |
|
| Do you have adequate shelter? * |
|
| Please describe your facility: * |
|
| Do you have other equines? |
|
| What will the equine be used for? |
|
| Will children be riding or caring for the horse? |
|
| If yes, how old are the children? |
|
| Please explain your level of experience with horses: |
|
| Have you ever worked with an abused animal? |
|
| If yes, please explain |
|
| Have you ever been cited or warned for abuse or neglect of any animal? |
|
| If yes, please explain: |
|
| Can you commit to caring for an animal for it’s lifetime? |
|
| Have you sold or given away an animal within the past 5 years? |
|
| If yes, please explain |
|
| What will you do with the equine if you have to move or go on vacation? * |
|
| Please tell us how you will care for the animal: |
|
| Please give name, address and phone number of your vet: |
|
| Can you provide references? |
|
| Are you willing to provide regular updates, including pictures and yearly vet statements if asked and allow |
|
| Do you understand Perfect Harmony’s right to repossess the animal if there is proof of neglect or abuse: |
|
| Do you understand that placed animals can not ever be given away or sold? |
|
| How did you hear about us? |
|
