Wild Horse Foundation

YOU CAN PRINT THIS OFF AND SEND IT IN OR YOU CAN CALL AND WE CAN FAX YOU THIS FORM.

 FAX 979-828-1122

With over an additional 5,000 wild horses and burro adopted from the foundation, over the last several years the foundation has received many request to authenticate these for the adopters.        

Name (s) Requested

1^st choice__________________________  2^nd ______________________

 Where did wild horse or burro originate? ______________ Location if known?________________  Forward a copy of your BLM adoption or adoption paperwork including numbers, location and signalment codes.

 Please send 2 pictures one side view and 1 front view with this application.

 Color: Circle one: Dun. Bay. Brown. Sorrel. Buckskin. Palomino. Paint. Pink. Gray. Dapple.  Red Roan. Blue Roan. Strawberry Roan. Buckskin Roan. Grulla. Claybank. White. Black. Appaloosa. Chestnut. Liver. Cream. Other. ________________________

 Does your horse or burro have stripping? _______  location___________

 Sex. Stud___/Gelding___/Mare___/Jack___/Jenny___/John____  Foal date:______________

Name of Owner/Applicant: ________________________ Print last name ___________

Phone number Area Code ( _____ )  (________________)

                                                            Please print

Mailing Address:________________________________________________________________________ 

_______________________________________________________________________________ 

City                                              Street, Route, Box, etc.               State             Zip code + 4(if known)

Owner Signature: ________________________________  Date:_________

  * PLEASE ENCLOSE 2 PICTURES OF YOUR EQUINE FOR THE CERTIFICATE AND REGISTRATION FEE $30.00 FOR WILD HORSE FOUNDATION ADOPTERS AND $35.00 FOR ALL OTHERS.  4-6 WEEKS PROCESSING AND DELIVERY

For more information please call us or email us: grfield@wildhorsefoundation.org

last updated 7-10-08