WILD HORSE FOUNDATION

ADOPTION APPLICATION (Fill in ALL areas)

Name of applicant:_____________________________________________________

Address:_____________________________________________________________

____________________________________________________________________

Home Phone:__________________ Work Phone:____________________

Employer:____________________________________________________________

Address: _____________________________________________________________

How long have you been employed by above:_________________________

Annual Income:________________________

If you rent your home:

Landlord's Name:______________________________________________________

Landlord's Phone:______________________________________________________

Will the horse be kept on your property?---Yes________ No________

If yes, describe the area and shelter provided:

____________________________________________________________________

____________________________________________________________________

If no, list the address and description of the boarding/training facility:

____________________________________________________________________

____________________________________________________________________

Trainer/Manager and Phone: _____________________________________________

Do you currently own a horse?---Yes_____No_____How many?___________

If yes, please describe: _________________________________________________

If you previously owned a horse, please explain what happened to it: ____________________________________________________________________

What type of horse are you specifically interested in?

Age________________Breed:__________________

Height:______________Range of training:_________________________

What is the height and weight of rider(s): __________________________

Briefly describe your level of expertise in the following areas:

Riding:

_____________________________________________________________________

_____________________________________________________________________

Handling:

_____________________________________________________________________

_____________________________________________________________________

Training:

_____________________________________________________________________

_____________________________________________________________________

Have you ever gentled and/or trained a wild (feral) mustang, or similar horse?---Yes____ No_____

If yes, please describe the methods you used: _____________________________________________________________________

Who will ride the adopted horse?___________________________________

Who will be responsible for feeding your horse:________________________

Training your horse:____________________________________________

General care of your horse:_______________________________________

How much do you anticipate spending yearly for feed? __________________

Medical care?________Worming? _________ Farrier?________________

How often do you feel a horse should be  wormed?_____________________

How often do you feel the hooves should be trimmed?___________________

How often should the teeth be floated? ______________________________

How often should a horse receive vaccinations?________________________

Who will be your veterinarian? _______________________  Phone: ______________

Who will be your farrier? __________________________  Phone: ________________

Why do you want to adopt a horse? (use the back for more information)  ______________________________________________________________________

Have you ever been issued a warning/citation for humane violation?---Yes__________ No_____

If yes, please explain: ______________________________________________________________________

Have you ever surrendered a horse or animal?  Yes _________(please in detail why on this sheet and use more space if needed.)  No___________

Wild Horse Foundation would like to inspect your property/barn, when would be a convenient time? ______________________________________________________________________

Please provide three references:

Name: __________________________Phone: _____________________  relationship _________________________

Name:___________________________Phone:_____________________  relationship _________________________

Name:___________________________Phone:______________________ relationship _________________________

I/We certify that all the information contained herein is true and correct.

Affidavit

I, _____________________ give the Wild Horse Foundation full authority to enter said property wherever the adopted horse or burro is located by giving full consent to any local law enforcement/city or county officer and by consenting to authorize any county, city or state district judge to issue said warrant of seizure to obtain said adopted horse or burro. 

Signature:___________________________________ Date:______________________

Signature:___________________________________ Date:______________________

Before me appeared said individual above gives sworn statement to be true and correct.   

Notary: ____________________________     Date:_______________

Notary Seal

Send donations to: 

Wild Horse Foundation, P O Box 692, Franklin, Texas  77856

Phone for more information: 979.828.3927 or email  grfield@wildhorsefoundation.org