Name of applicant:_____________________________________________________
Home Phone:__________________ Work Phone:____________________
How long have you been employed by above:_________________________
If you rent your home:
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?
Height:______________Range of training:_________________________
What is the height and weight of rider(s): __________________________
Briefly describe your level of expertise in the following areas:
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.
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.
Before me appeared said individual above gives sworn statement to be true and correct.
Notary: ____________________________ Date:_______________
Send donations to:
Wild Horse Foundation, P O Box 692, Franklin, Texas 77856
Phone for more information: 979.828.3927 or email firstname.lastname@example.org
© Copyright 1995-2012 Wild Horse Foundation.
WILD HORSE FOUNDATION is a trademark of the Wild Horse Foundation.
ALL RIGHTS RESERVED.
P. O. Box 692, Franklin, Texas 77856
P. O. Box 692, Franklin, Texas 77856
Contact us: 979 - 828 - 3927