Professional Documents
Culture Documents
Is there a particular breed or working purpose that you are interested in: ________________________
____________________________________________________________________________________
PERSONAL CONTACT INFORMATION
Name: __________________________________________________________________________
Address___________________________________________________________________________
City _______________________, State ____________________
Phone: Home (______) _________________________
Cell/Business (______) _________________________
Email: _______________________________________
CA Drivers License # ___________________________
EMPLOYMENT INFORMATION
Are you currently (check all that apply): Employed full time___
time___ Unemployed___ Student___ Retired___
Employed part
Would the horse be kept ____on your property ___ on a different residential property ____at a boarding
stables
Please list name, address, and phone number of the boarding stable or property where horse will be kept
if not at your residence.
Name _________________________________________ Phone (_______) ___________________
Address____________________________________________________________________________
What is the size of the stall or corral that your horse will spend the majority of its time in:
_________________________
Will this horse be housed with other horses? If so, how many
________________________________________________
If the horse is to be housed with other horses (which we feel is almost always in a horses best interest
and mimics their natural desire to be a part of a
healthy herd) do you have a secondary stall/corral available in event the horses are not getting a long,
once becomes ill, etc.? ___yes ____no
___I agree that a SLAP Equine Rescue representative may visit the site where the horse will live, if they
so choose
Please explain how you would transport the horse: ___I own a trailer ___I will rent/borrow a trailer ___I
will need S.L.A.P. Equine Rescue to transport for me at the cost of $1 per mile.
HORSE HISTORY
(please check all that apply)
___This will be my first horse!
___ I have leased a horse before. Length of lease_________________. Reason for discontinuing the
lease:_____________________________________________________________________________
___I am a prior horse owner. Length of time owned before ___________. Reason no longer own
______________________________________________________________________________
___I am a current horse owner. I have owned horses since __________. This horse will join the
following horses I currently own or that are on my property:
Horse #1 Name__________________________________ Age ___________ Gender _______________
Personality
Notes___________________________________________________________________________
ADOPTION INFORMATION
(Check all that apply)
Why do you wish to adopt a horse?
____Ive always loved horses and want to have one
___Want to breed
____I love horses and want to help a horse in need
___For my kids
What types of horse do you wish to give a permanent home to? (Check all that apply)
___ Horse in good condition, able to ride and potentially train for sport
___Husband horse (very broke, one you could put your husband on and head to trail)
___Yearling
___Senior horse (over the age of 20)
___Horse with special needs
___Horse with potential, but still requires training
___Other ___________________________________________________________________________
What is your intended purpose for the horse? (check all that apply)
___Primary riding horse
___Family horse, kids included
___Show/sport specifically: ________________________________________________________
___Work horse
____Lesson Horse
____Therapy Horse
____Trail Ride Horse
Other ___________________________
___Companion horse. Sex/personality of horse you have:
__________________________________________________
RIDER INFORMATION
Please complete for the primary rider
Are ALL members of your household aware of and in agreement with this
adoption? If not, please list who is not in favor of the adoption and the nature
of their concern or objection:
____________________________________________________________________________________
____________________________________________________________________________________
Care:
How often will you be able to groom the horse: ___daily ___ every other day ___weekdays
___weekends
How often will the horse be ridden: ___daily ___ every other day ___weekdays ___weekends
Financial:
Are you aware of the financial responsibilities associated with owning a horse? Standard expenses
could range from $100-$400 monthly board/care, $40-$100 for trimming or shoes every 4-8
weeks, $160 for floating the teeth every year or two, $50 month for supplements, fly sprays, shampoos,
etc., variable amounts for veterinary visits, etc.
Have you ever had to relinquish a horse or had one taken from you by authorities. ___Yes ____No
If yes, please explain:
___________________________________________________________________________________
In event you are unable to keep or care for the horse at any time, the horse
must be returned to S.L.A.P. Equine Rescue, unless S.L.A.P. approves
of the change in ownership. What would cause you to return a horse to us at some
time in the future? (Check all that apply):
If you are no longer able to keep the horse you adopt, do you agree to
return the horse to S.L.A.P. Equine Rescue or ideally identify a new
suitable home for it with the understanding that the new home must also be
approved by S.L.A.P.? ___Yes
___No
Furthermore, do you agree that if you
cannot keep the animal you adopt, you must house this animal until a suitable
new home is available or until foster home space opens up? ___Yes ___No
The above statements are true to the best of my knowledge.
_________________________________________________________________________
Signature