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Adoption Application

All persons interested in adopting a horse from 3Sisters Equine Refuge are required to complete the application in full.
Questions about this application? Call 541-508-9546

 

NOTE: All adopters must be 28 or older, financially and physically able to provide the proper care to the adopted horse.

I understand that the adoption agreement is a lifetime commitment.


Adopters may NOT sell the adopted horse. If the adopter cannot or does not wish to continue to care for the adopted horse, 3Sisters Equine Refuge MUST be notified and will help find a solution, whether arrangements are made to transfer the adoption to another approved adopter or the horse is returned to 3 Sisters Equine Rescue. 


I understand and agree to submit both written and visual updates on the adopted horse at 3 months, 6 months, and 12 months after adoption and then yearly. All updates must include the horse’s location, feeding info, how and what the horse has been doing, and clear, good quality full body photo(s) without tack or blanket. 


I agree that the adopted horse is NEVER, under any circumstances, to be sold at any auction, to a horse dealer.


I agree to a site visit by 3 Sisters Equine Rescue. 


3Sisters Equine Refuge reserves the right to pursue legal action towards the adopter should any of the above occur.

Today's Date: November 23, 2024

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
Do you own your property or rent?*

If rental, please provide the name and number of your landlord

Facebook profile link

Instagram profile link

Work phone number

Financial Information 


Name of employer

How long have you been employed there?

What is your occupation?
Do you work full-time, part-time, or are you self-employed?*

If self-employed, please describe your profession
What is your household's total annual income?*
Will there be anyone helping you pay for the care of the horse?*
No
Yes

If yes, please explain
Do you understand the cost per year to own your adopted horse?*
No
Yes

Please list all potential expenses with estimated amounts.

Horse Experience and History


What is your experience with horses?
Do you currently own a horse?*
No
Yes

If so, how many?
If not, have you ever owned a horse?*
Do you have experience with training green or wild horses?*
No
Yes

If yes, please explain
Have you ever sold or re-homed a horse?*
No
Yes

If yes, please explain why you sold/re-homed the horse and how you determined who you would sell the horse to
Are you still in contact with the person(s) you sold the horse to?*

You and Your Potential Adopted Horse 


What breed of horse are you looking to adopt and why have your chosen this breed?

What qualities would you like to have in a horse? (i.e. age, color, sex, size, temperament) Please explain in detail

What riding discipline is your primary focus?
How often do you want to ride/drive your horse?*
How would you rate your riding ability?*
Do you have a trainer?*
No
Yes

If yes, please provide his/her name and contact information

Describe your trainers training philosophy

How many years of experience does your trainer have and with what types of horses?

What would be your overall goal for the horse?

If you have an unforeseen life event (i.e. loss of job, divorce, illness, pregnancy, death) what would your plan be for your adopted horse?

When would you like to adopt?

Are you interested in a specific horse?

Private Facility

(if boarding, skip this area and move to Boarding) 


Please describe where you plan to keep your horse
Are there other horses on the property?*
No
Yes

If yes, how many?

How much space will you have?
Does the property have a shelter for the horses?*
No
Yes
Will the horse have access to pasture?*
No
Yes

If yes, how many total acres?

What type of fencing surrounds the pastures/paddocks? Explain in detail (type of material, # of rails/ strands, height)

Boarding Facility

(please skip if you've filled out Private Facility)


If you plan to board your horse at a location other than your property, please provide the name, address, and phone number of the boarding facility or private farm where the horse will stay including the name of the person who owns the facility.
Do you currently board at this facility, or have you in the past?*
No
Yes

If yes, when?
Will the manager/ owner of the stable be willing to sign our "Boarding Agreement"?**
No
Yes

*This form states that they will contact 3Sisters Equine Refuge about late board payment or improper horse care. 

Will the boarding facility agree to a site visit by 3 Sisters Equine Refuge?*
No
Yes
Will the horse have shelter?*
No
Yes

If so, what kind?
Will the horse have access to pasture?*
No
Yes

If yes, how many total acres?

What type of fencing surrounds the pastures/paddocks? Explain in detail (type of material, # of rails/ strands, height)

Fencing & Shelter Image

  
Please provide a picture of the fencing, shelter(s) and property.
Valid file types: JPG, GIF, PNG, and PDF

If multiple images, please email them to 3sisterstotherescue@gmail.com 

Care & Feeding 


How many times per day will your adopted horse be fed?

Please explain

Who will be responsible for feeding the horse?

If fed in the pasture, how will you assure the horse is receiving the proper and required amount of feed?

What type of grain and hay will the horse be fed?

Based on your experience, how much grain and hay per day do you think the horse will need?
Will your horse have access to grass pasture?*
No
Yes

How often will you de-worm your adopted horse?

What annual vaccinations will your horse receive? Please list
Do you have an equine veterinarian?*
No
Yes

If yes, please provide the name and contact information for your vet.

Please describe how often you will have the horse seen by your vet and for what kinds of care.
Do you have a farrier?*
No
Yes

If yes, please provide the name and contact information for your farrier.

Please describe how often you will have your farrier provide hoof care for your horse

Please describe how often you will have your horses teeth checked and floated
Have you ever been charged with animal cruelty or domestic violence?*
No
Yes
Have you ever surrendered an animal to a rescue agency or to law enforcement in the past?*
No
Yes

If yes, please explain

References

Provide the following for three NON- FAMILY references:

  • Name
  • Phone number(s)
  • Email address


Reference One

Reference Two

Reference Three

How did you hear about our rescue? Please specify

BY SIGNING, YOU CERTIFY THAT ALL OF THE INFORMATION YOU HAVE PROVIDED IS TRUE AND CORRECT TO THE BEST OF YOUR KNOWLEDGE. 

First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Do you own your property or rent?*

If rental, please provide the name and number of your landlord

Facebook profile link

Instagram profile link

Work phone number

Financial Information 


Name of employer

How long have you been employed there?

What is your occupation?
Do you work full-time, part-time, or are you self-employed?*

If self-employed, please describe your profession
What is your household's total annual income?*
Will there be anyone helping you pay for the care of the horse?*
No
Yes

If yes, please explain
Do you understand the cost per year to own your adopted horse?*
No
Yes

Please list all potential expenses with estimated amounts.

Horse Experience and History


What is your experience with horses?
Do you currently own a horse?*
No
Yes

If so, how many?
If not, have you ever owned a horse?*
Do you have experience with training green or wild horses?*
No
Yes

If yes, please explain
Have you ever sold or re-homed a horse?*
No
Yes

If yes, please explain why you sold/re-homed the horse and how you determined who you would sell the horse to
Are you still in contact with the person(s) you sold the horse to?*

You and Your Potential Adopted Horse 


What breed of horse are you looking to adopt and why have your chosen this breed?

What qualities would you like to have in a horse? (i.e. age, color, sex, size, temperament) Please explain in detail

What riding discipline is your primary focus?
How often do you want to ride/drive your horse?*
How would you rate your riding ability?*
Do you have a trainer?*
No
Yes

If yes, please provide his/her name and contact information

Describe your trainers training philosophy

How many years of experience does your trainer have and with what types of horses?

What would be your overall goal for the horse?

If you have an unforeseen life event (i.e. loss of job, divorce, illness, pregnancy, death) what would your plan be for your adopted horse?

When would you like to adopt?

Are you interested in a specific horse?

Private Facility

(if boarding, skip this area and move to Boarding) 


Please describe where you plan to keep your horse
Are there other horses on the property?*
No
Yes

If yes, how many?

How much space will you have?
Does the property have a shelter for the horses?*
No
Yes
Will the horse have access to pasture?*
No
Yes

If yes, how many total acres?

What type of fencing surrounds the pastures/paddocks? Explain in detail (type of material, # of rails/ strands, height)

Boarding Facility

(please skip if you've filled out Private Facility)


If you plan to board your horse at a location other than your property, please provide the name, address, and phone number of the boarding facility or private farm where the horse will stay including the name of the person who owns the facility.
Do you currently board at this facility, or have you in the past?*
No
Yes

If yes, when?
Will the manager/ owner of the stable be willing to sign our "Boarding Agreement"?**
No
Yes

*This form states that they will contact 3Sisters Equine Refuge about late board payment or improper horse care. 

Will the boarding facility agree to a site visit by 3 Sisters Equine Refuge?*
No
Yes
Will the horse have shelter?*
No
Yes

If so, what kind?
Will the horse have access to pasture?*
No
Yes

If yes, how many total acres?

What type of fencing surrounds the pastures/paddocks? Explain in detail (type of material, # of rails/ strands, height)

Fencing & Shelter Image

  
Please provide a picture of the fencing, shelter(s) and property.
Valid file types: JPG, GIF, PNG, and PDF

If multiple images, please email them to 3sisterstotherescue@gmail.com 

Care & Feeding 


How many times per day will your adopted horse be fed?

Please explain

Who will be responsible for feeding the horse?

If fed in the pasture, how will you assure the horse is receiving the proper and required amount of feed?

What type of grain and hay will the horse be fed?

Based on your experience, how much grain and hay per day do you think the horse will need?
Will your horse have access to grass pasture?*
No
Yes

How often will you de-worm your adopted horse?

What annual vaccinations will your horse receive? Please list
Do you have an equine veterinarian?*
No
Yes

If yes, please provide the name and contact information for your vet.

Please describe how often you will have the horse seen by your vet and for what kinds of care.
Do you have a farrier?*
No
Yes

If yes, please provide the name and contact information for your farrier.

Please describe how often you will have your farrier provide hoof care for your horse

Please describe how often you will have your horses teeth checked and floated
Have you ever been charged with animal cruelty or domestic violence?*
No
Yes
Have you ever surrendered an animal to a rescue agency or to law enforcement in the past?*
No
Yes

If yes, please explain

References

Provide the following for three NON- FAMILY references:

  • Name
  • Phone number(s)
  • Email address


Reference One

Reference Two

Reference Three

How did you hear about our rescue? Please specify

BY SIGNING, YOU CERTIFY THAT ALL OF THE INFORMATION YOU HAVE PROVIDED IS TRUE AND CORRECT TO THE BEST OF YOUR KNOWLEDGE. 

Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Do you own your property or rent?*

If rental, please provide the name and number of your landlord

Facebook profile link

Instagram profile link

Work phone number

Financial Information 


Name of employer

How long have you been employed there?

What is your occupation?
Do you work full-time, part-time, or are you self-employed?*

If self-employed, please describe your profession
What is your household's total annual income?*
Will there be anyone helping you pay for the care of the horse?*
No
Yes

If yes, please explain
Do you understand the cost per year to own your adopted horse?*
No
Yes

Please list all potential expenses with estimated amounts.

Horse Experience and History


What is your experience with horses?
Do you currently own a horse?*
No
Yes

If so, how many?
If not, have you ever owned a horse?*
Do you have experience with training green or wild horses?*
No
Yes

If yes, please explain
Have you ever sold or re-homed a horse?*
No
Yes

If yes, please explain why you sold/re-homed the horse and how you determined who you would sell the horse to
Are you still in contact with the person(s) you sold the horse to?*

You and Your Potential Adopted Horse 


What breed of horse are you looking to adopt and why have your chosen this breed?

What qualities would you like to have in a horse? (i.e. age, color, sex, size, temperament) Please explain in detail

What riding discipline is your primary focus?
How often do you want to ride/drive your horse?*
How would you rate your riding ability?*
Do you have a trainer?*
No
Yes

If yes, please provide his/her name and contact information

Describe your trainers training philosophy

How many years of experience does your trainer have and with what types of horses?

What would be your overall goal for the horse?

If you have an unforeseen life event (i.e. loss of job, divorce, illness, pregnancy, death) what would your plan be for your adopted horse?

When would you like to adopt?

Are you interested in a specific horse?

Private Facility

(if boarding, skip this area and move to Boarding) 


Please describe where you plan to keep your horse
Are there other horses on the property?*
No
Yes

If yes, how many?

How much space will you have?
Does the property have a shelter for the horses?*
No
Yes
Will the horse have access to pasture?*
No
Yes

If yes, how many total acres?

What type of fencing surrounds the pastures/paddocks? Explain in detail (type of material, # of rails/ strands, height)

Boarding Facility

(please skip if you've filled out Private Facility)


If you plan to board your horse at a location other than your property, please provide the name, address, and phone number of the boarding facility or private farm where the horse will stay including the name of the person who owns the facility.
Do you currently board at this facility, or have you in the past?*
No
Yes

If yes, when?
Will the manager/ owner of the stable be willing to sign our "Boarding Agreement"?**
No
Yes

*This form states that they will contact 3Sisters Equine Refuge about late board payment or improper horse care. 

Will the boarding facility agree to a site visit by 3 Sisters Equine Refuge?*
No
Yes
Will the horse have shelter?*
No
Yes

If so, what kind?
Will the horse have access to pasture?*
No
Yes

If yes, how many total acres?

What type of fencing surrounds the pastures/paddocks? Explain in detail (type of material, # of rails/ strands, height)

Fencing & Shelter Image

  
Please provide a picture of the fencing, shelter(s) and property.
Valid file types: JPG, GIF, PNG, and PDF

If multiple images, please email them to 3sisterstotherescue@gmail.com 

Care & Feeding 


How many times per day will your adopted horse be fed?

Please explain

Who will be responsible for feeding the horse?

If fed in the pasture, how will you assure the horse is receiving the proper and required amount of feed?

What type of grain and hay will the horse be fed?

Based on your experience, how much grain and hay per day do you think the horse will need?
Will your horse have access to grass pasture?*
No
Yes

How often will you de-worm your adopted horse?

What annual vaccinations will your horse receive? Please list
Do you have an equine veterinarian?*
No
Yes

If yes, please provide the name and contact information for your vet.

Please describe how often you will have the horse seen by your vet and for what kinds of care.
Do you have a farrier?*
No
Yes

If yes, please provide the name and contact information for your farrier.

Please describe how often you will have your farrier provide hoof care for your horse

Please describe how often you will have your horses teeth checked and floated
Have you ever been charged with animal cruelty or domestic violence?*
No
Yes
Have you ever surrendered an animal to a rescue agency or to law enforcement in the past?*
No
Yes

If yes, please explain

References

Provide the following for three NON- FAMILY references:

  • Name
  • Phone number(s)
  • Email address


Reference One

Reference Two

Reference Three

How did you hear about our rescue? Please specify

BY SIGNING, YOU CERTIFY THAT ALL OF THE INFORMATION YOU HAVE PROVIDED IS TRUE AND CORRECT TO THE BEST OF YOUR KNOWLEDGE. 

Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Do you own your property or rent?*

If rental, please provide the name and number of your landlord

Facebook profile link

Instagram profile link

Work phone number

Financial Information 


Name of employer

How long have you been employed there?

What is your occupation?
Do you work full-time, part-time, or are you self-employed?*

If self-employed, please describe your profession
What is your household's total annual income?*
Will there be anyone helping you pay for the care of the horse?*
No
Yes

If yes, please explain
Do you understand the cost per year to own your adopted horse?*
No
Yes

Please list all potential expenses with estimated amounts.

Horse Experience and History


What is your experience with horses?
Do you currently own a horse?*
No
Yes

If so, how many?
If not, have you ever owned a horse?*
Do you have experience with training green or wild horses?*
No
Yes

If yes, please explain
Have you ever sold or re-homed a horse?*
No
Yes

If yes, please explain why you sold/re-homed the horse and how you determined who you would sell the horse to
Are you still in contact with the person(s) you sold the horse to?*

You and Your Potential Adopted Horse 


What breed of horse are you looking to adopt and why have your chosen this breed?

What qualities would you like to have in a horse? (i.e. age, color, sex, size, temperament) Please explain in detail

What riding discipline is your primary focus?
How often do you want to ride/drive your horse?*
How would you rate your riding ability?*
Do you have a trainer?*
No
Yes

If yes, please provide his/her name and contact information

Describe your trainers training philosophy

How many years of experience does your trainer have and with what types of horses?

What would be your overall goal for the horse?

If you have an unforeseen life event (i.e. loss of job, divorce, illness, pregnancy, death) what would your plan be for your adopted horse?

When would you like to adopt?

Are you interested in a specific horse?

Private Facility

(if boarding, skip this area and move to Boarding) 


Please describe where you plan to keep your horse
Are there other horses on the property?*
No
Yes

If yes, how many?

How much space will you have?
Does the property have a shelter for the horses?*
No
Yes
Will the horse have access to pasture?*
No
Yes

If yes, how many total acres?

What type of fencing surrounds the pastures/paddocks? Explain in detail (type of material, # of rails/ strands, height)

Boarding Facility

(please skip if you've filled out Private Facility)


If you plan to board your horse at a location other than your property, please provide the name, address, and phone number of the boarding facility or private farm where the horse will stay including the name of the person who owns the facility.
Do you currently board at this facility, or have you in the past?*
No
Yes

If yes, when?
Will the manager/ owner of the stable be willing to sign our "Boarding Agreement"?**
No
Yes

*This form states that they will contact 3Sisters Equine Refuge about late board payment or improper horse care. 

Will the boarding facility agree to a site visit by 3 Sisters Equine Refuge?*
No
Yes
Will the horse have shelter?*
No
Yes

If so, what kind?
Will the horse have access to pasture?*
No
Yes

If yes, how many total acres?

What type of fencing surrounds the pastures/paddocks? Explain in detail (type of material, # of rails/ strands, height)

Fencing & Shelter Image

  
Please provide a picture of the fencing, shelter(s) and property.
Valid file types: JPG, GIF, PNG, and PDF

If multiple images, please email them to 3sisterstotherescue@gmail.com 

Care & Feeding 


How many times per day will your adopted horse be fed?

Please explain

Who will be responsible for feeding the horse?

If fed in the pasture, how will you assure the horse is receiving the proper and required amount of feed?

What type of grain and hay will the horse be fed?

Based on your experience, how much grain and hay per day do you think the horse will need?
Will your horse have access to grass pasture?*
No
Yes

How often will you de-worm your adopted horse?

What annual vaccinations will your horse receive? Please list
Do you have an equine veterinarian?*
No
Yes

If yes, please provide the name and contact information for your vet.

Please describe how often you will have the horse seen by your vet and for what kinds of care.
Do you have a farrier?*
No
Yes

If yes, please provide the name and contact information for your farrier.

Please describe how often you will have your farrier provide hoof care for your horse

Please describe how often you will have your horses teeth checked and floated
Have you ever been charged with animal cruelty or domestic violence?*
No
Yes
Have you ever surrendered an animal to a rescue agency or to law enforcement in the past?*
No
Yes

If yes, please explain

References

Provide the following for three NON- FAMILY references:

  • Name
  • Phone number(s)
  • Email address


Reference One

Reference Two

Reference Three

How did you hear about our rescue? Please specify

BY SIGNING, YOU CERTIFY THAT ALL OF THE INFORMATION YOU HAVE PROVIDED IS TRUE AND CORRECT TO THE BEST OF YOUR KNOWLEDGE. 

Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Do you own your property or rent?*

If rental, please provide the name and number of your landlord

Facebook profile link

Instagram profile link

Work phone number

Financial Information 


Name of employer

How long have you been employed there?

What is your occupation?
Do you work full-time, part-time, or are you self-employed?*

If self-employed, please describe your profession
What is your household's total annual income?*
Will there be anyone helping you pay for the care of the horse?*
No
Yes

If yes, please explain
Do you understand the cost per year to own your adopted horse?*
No
Yes

Please list all potential expenses with estimated amounts.

Horse Experience and History


What is your experience with horses?
Do you currently own a horse?*
No
Yes

If so, how many?
If not, have you ever owned a horse?*
Do you have experience with training green or wild horses?*
No
Yes

If yes, please explain
Have you ever sold or re-homed a horse?*
No
Yes

If yes, please explain why you sold/re-homed the horse and how you determined who you would sell the horse to
Are you still in contact with the person(s) you sold the horse to?*

You and Your Potential Adopted Horse 


What breed of horse are you looking to adopt and why have your chosen this breed?

What qualities would you like to have in a horse? (i.e. age, color, sex, size, temperament) Please explain in detail

What riding discipline is your primary focus?
How often do you want to ride/drive your horse?*
How would you rate your riding ability?*
Do you have a trainer?*
No
Yes

If yes, please provide his/her name and contact information

Describe your trainers training philosophy

How many years of experience does your trainer have and with what types of horses?

What would be your overall goal for the horse?

If you have an unforeseen life event (i.e. loss of job, divorce, illness, pregnancy, death) what would your plan be for your adopted horse?

When would you like to adopt?

Are you interested in a specific horse?

Private Facility

(if boarding, skip this area and move to Boarding) 


Please describe where you plan to keep your horse
Are there other horses on the property?*
No
Yes

If yes, how many?

How much space will you have?
Does the property have a shelter for the horses?*
No
Yes
Will the horse have access to pasture?*
No
Yes

If yes, how many total acres?

What type of fencing surrounds the pastures/paddocks? Explain in detail (type of material, # of rails/ strands, height)

Boarding Facility

(please skip if you've filled out Private Facility)


If you plan to board your horse at a location other than your property, please provide the name, address, and phone number of the boarding facility or private farm where the horse will stay including the name of the person who owns the facility.
Do you currently board at this facility, or have you in the past?*
No
Yes

If yes, when?
Will the manager/ owner of the stable be willing to sign our "Boarding Agreement"?**
No
Yes

*This form states that they will contact 3Sisters Equine Refuge about late board payment or improper horse care. 

Will the boarding facility agree to a site visit by 3 Sisters Equine Refuge?*
No
Yes
Will the horse have shelter?*
No
Yes

If so, what kind?
Will the horse have access to pasture?*
No
Yes

If yes, how many total acres?

What type of fencing surrounds the pastures/paddocks? Explain in detail (type of material, # of rails/ strands, height)

Fencing & Shelter Image

  
Please provide a picture of the fencing, shelter(s) and property.
Valid file types: JPG, GIF, PNG, and PDF

If multiple images, please email them to 3sisterstotherescue@gmail.com 

Care & Feeding 


How many times per day will your adopted horse be fed?

Please explain

Who will be responsible for feeding the horse?

If fed in the pasture, how will you assure the horse is receiving the proper and required amount of feed?

What type of grain and hay will the horse be fed?

Based on your experience, how much grain and hay per day do you think the horse will need?
Will your horse have access to grass pasture?*
No
Yes

How often will you de-worm your adopted horse?

What annual vaccinations will your horse receive? Please list
Do you have an equine veterinarian?*
No
Yes

If yes, please provide the name and contact information for your vet.

Please describe how often you will have the horse seen by your vet and for what kinds of care.
Do you have a farrier?*
No
Yes

If yes, please provide the name and contact information for your farrier.

Please describe how often you will have your farrier provide hoof care for your horse

Please describe how often you will have your horses teeth checked and floated
Have you ever been charged with animal cruelty or domestic violence?*
No
Yes
Have you ever surrendered an animal to a rescue agency or to law enforcement in the past?*
No
Yes

If yes, please explain

References

Provide the following for three NON- FAMILY references:

  • Name
  • Phone number(s)
  • Email address


Reference One

Reference Two

Reference Three

How did you hear about our rescue? Please specify

BY SIGNING, YOU CERTIFY THAT ALL OF THE INFORMATION YOU HAVE PROVIDED IS TRUE AND CORRECT TO THE BEST OF YOUR KNOWLEDGE. 

Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Do you own your property or rent?*

If rental, please provide the name and number of your landlord

Facebook profile link

Instagram profile link

Work phone number

Financial Information 


Name of employer

How long have you been employed there?

What is your occupation?
Do you work full-time, part-time, or are you self-employed?*

If self-employed, please describe your profession
What is your household's total annual income?*
Will there be anyone helping you pay for the care of the horse?*
No
Yes

If yes, please explain
Do you understand the cost per year to own your adopted horse?*
No
Yes

Please list all potential expenses with estimated amounts.

Horse Experience and History


What is your experience with horses?
Do you currently own a horse?*
No
Yes

If so, how many?
If not, have you ever owned a horse?*
Do you have experience with training green or wild horses?*
No
Yes

If yes, please explain
Have you ever sold or re-homed a horse?*
No
Yes

If yes, please explain why you sold/re-homed the horse and how you determined who you would sell the horse to
Are you still in contact with the person(s) you sold the horse to?*

You and Your Potential Adopted Horse 


What breed of horse are you looking to adopt and why have your chosen this breed?

What qualities would you like to have in a horse? (i.e. age, color, sex, size, temperament) Please explain in detail

What riding discipline is your primary focus?
How often do you want to ride/drive your horse?*
How would you rate your riding ability?*
Do you have a trainer?*
No
Yes

If yes, please provide his/her name and contact information

Describe your trainers training philosophy

How many years of experience does your trainer have and with what types of horses?

What would be your overall goal for the horse?

If you have an unforeseen life event (i.e. loss of job, divorce, illness, pregnancy, death) what would your plan be for your adopted horse?

When would you like to adopt?

Are you interested in a specific horse?

Private Facility

(if boarding, skip this area and move to Boarding) 


Please describe where you plan to keep your horse
Are there other horses on the property?*
No
Yes

If yes, how many?

How much space will you have?
Does the property have a shelter for the horses?*
No
Yes
Will the horse have access to pasture?*
No
Yes

If yes, how many total acres?

What type of fencing surrounds the pastures/paddocks? Explain in detail (type of material, # of rails/ strands, height)

Boarding Facility

(please skip if you've filled out Private Facility)


If you plan to board your horse at a location other than your property, please provide the name, address, and phone number of the boarding facility or private farm where the horse will stay including the name of the person who owns the facility.
Do you currently board at this facility, or have you in the past?*
No
Yes

If yes, when?
Will the manager/ owner of the stable be willing to sign our "Boarding Agreement"?**
No
Yes

*This form states that they will contact 3Sisters Equine Refuge about late board payment or improper horse care. 

Will the boarding facility agree to a site visit by 3 Sisters Equine Refuge?*
No
Yes
Will the horse have shelter?*
No
Yes

If so, what kind?
Will the horse have access to pasture?*
No
Yes

If yes, how many total acres?

What type of fencing surrounds the pastures/paddocks? Explain in detail (type of material, # of rails/ strands, height)

Fencing & Shelter Image

  
Please provide a picture of the fencing, shelter(s) and property.
Valid file types: JPG, GIF, PNG, and PDF

If multiple images, please email them to 3sisterstotherescue@gmail.com 

Care & Feeding 


How many times per day will your adopted horse be fed?

Please explain

Who will be responsible for feeding the horse?

If fed in the pasture, how will you assure the horse is receiving the proper and required amount of feed?

What type of grain and hay will the horse be fed?

Based on your experience, how much grain and hay per day do you think the horse will need?
Will your horse have access to grass pasture?*
No
Yes

How often will you de-worm your adopted horse?

What annual vaccinations will your horse receive? Please list
Do you have an equine veterinarian?*
No
Yes

If yes, please provide the name and contact information for your vet.

Please describe how often you will have the horse seen by your vet and for what kinds of care.
Do you have a farrier?*
No
Yes

If yes, please provide the name and contact information for your farrier.

Please describe how often you will have your farrier provide hoof care for your horse

Please describe how often you will have your horses teeth checked and floated
Have you ever been charged with animal cruelty or domestic violence?*
No
Yes
Have you ever surrendered an animal to a rescue agency or to law enforcement in the past?*
No
Yes

If yes, please explain

References

Provide the following for three NON- FAMILY references:

  • Name
  • Phone number(s)
  • Email address


Reference One

Reference Two

Reference Three

How did you hear about our rescue? Please specify

BY SIGNING, YOU CERTIFY THAT ALL OF THE INFORMATION YOU HAVE PROVIDED IS TRUE AND CORRECT TO THE BEST OF YOUR KNOWLEDGE. 

Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Do you own your property or rent?*

If rental, please provide the name and number of your landlord

Facebook profile link

Instagram profile link

Work phone number

Financial Information 


Name of employer

How long have you been employed there?

What is your occupation?
Do you work full-time, part-time, or are you self-employed?*

If self-employed, please describe your profession
What is your household's total annual income?*
Will there be anyone helping you pay for the care of the horse?*
No
Yes

If yes, please explain
Do you understand the cost per year to own your adopted horse?*
No
Yes

Please list all potential expenses with estimated amounts.

Horse Experience and History


What is your experience with horses?
Do you currently own a horse?*
No
Yes

If so, how many?
If not, have you ever owned a horse?*
Do you have experience with training green or wild horses?*
No
Yes

If yes, please explain
Have you ever sold or re-homed a horse?*
No
Yes

If yes, please explain why you sold/re-homed the horse and how you determined who you would sell the horse to
Are you still in contact with the person(s) you sold the horse to?*

You and Your Potential Adopted Horse 


What breed of horse are you looking to adopt and why have your chosen this breed?

What qualities would you like to have in a horse? (i.e. age, color, sex, size, temperament) Please explain in detail

What riding discipline is your primary focus?
How often do you want to ride/drive your horse?*
How would you rate your riding ability?*
Do you have a trainer?*
No
Yes

If yes, please provide his/her name and contact information

Describe your trainers training philosophy

How many years of experience does your trainer have and with what types of horses?

What would be your overall goal for the horse?

If you have an unforeseen life event (i.e. loss of job, divorce, illness, pregnancy, death) what would your plan be for your adopted horse?

When would you like to adopt?

Are you interested in a specific horse?

Private Facility

(if boarding, skip this area and move to Boarding) 


Please describe where you plan to keep your horse
Are there other horses on the property?*
No
Yes

If yes, how many?

How much space will you have?
Does the property have a shelter for the horses?*
No
Yes
Will the horse have access to pasture?*
No
Yes

If yes, how many total acres?

What type of fencing surrounds the pastures/paddocks? Explain in detail (type of material, # of rails/ strands, height)

Boarding Facility

(please skip if you've filled out Private Facility)


If you plan to board your horse at a location other than your property, please provide the name, address, and phone number of the boarding facility or private farm where the horse will stay including the name of the person who owns the facility.
Do you currently board at this facility, or have you in the past?*
No
Yes

If yes, when?
Will the manager/ owner of the stable be willing to sign our "Boarding Agreement"?**
No
Yes

*This form states that they will contact 3Sisters Equine Refuge about late board payment or improper horse care. 

Will the boarding facility agree to a site visit by 3 Sisters Equine Refuge?*
No
Yes
Will the horse have shelter?*
No
Yes

If so, what kind?
Will the horse have access to pasture?*
No
Yes

If yes, how many total acres?

What type of fencing surrounds the pastures/paddocks? Explain in detail (type of material, # of rails/ strands, height)

Fencing & Shelter Image

  
Please provide a picture of the fencing, shelter(s) and property.
Valid file types: JPG, GIF, PNG, and PDF

If multiple images, please email them to 3sisterstotherescue@gmail.com 

Care & Feeding 


How many times per day will your adopted horse be fed?

Please explain

Who will be responsible for feeding the horse?

If fed in the pasture, how will you assure the horse is receiving the proper and required amount of feed?

What type of grain and hay will the horse be fed?

Based on your experience, how much grain and hay per day do you think the horse will need?
Will your horse have access to grass pasture?*
No
Yes

How often will you de-worm your adopted horse?

What annual vaccinations will your horse receive? Please list
Do you have an equine veterinarian?*
No
Yes

If yes, please provide the name and contact information for your vet.

Please describe how often you will have the horse seen by your vet and for what kinds of care.
Do you have a farrier?*
No
Yes

If yes, please provide the name and contact information for your farrier.

Please describe how often you will have your farrier provide hoof care for your horse

Please describe how often you will have your horses teeth checked and floated
Have you ever been charged with animal cruelty or domestic violence?*
No
Yes
Have you ever surrendered an animal to a rescue agency or to law enforcement in the past?*
No
Yes

If yes, please explain

References

Provide the following for three NON- FAMILY references:

  • Name
  • Phone number(s)
  • Email address


Reference One

Reference Two

Reference Three

How did you hear about our rescue? Please specify

BY SIGNING, YOU CERTIFY THAT ALL OF THE INFORMATION YOU HAVE PROVIDED IS TRUE AND CORRECT TO THE BEST OF YOUR KNOWLEDGE. 

Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Do you own your property or rent?*

If rental, please provide the name and number of your landlord

Facebook profile link

Instagram profile link

Work phone number

Financial Information 


Name of employer

How long have you been employed there?

What is your occupation?
Do you work full-time, part-time, or are you self-employed?*

If self-employed, please describe your profession
What is your household's total annual income?*
Will there be anyone helping you pay for the care of the horse?*
No
Yes

If yes, please explain
Do you understand the cost per year to own your adopted horse?*
No
Yes

Please list all potential expenses with estimated amounts.

Horse Experience and History


What is your experience with horses?
Do you currently own a horse?*
No
Yes

If so, how many?
If not, have you ever owned a horse?*
Do you have experience with training green or wild horses?*
No
Yes

If yes, please explain
Have you ever sold or re-homed a horse?*
No
Yes

If yes, please explain why you sold/re-homed the horse and how you determined who you would sell the horse to
Are you still in contact with the person(s) you sold the horse to?*

You and Your Potential Adopted Horse 


What breed of horse are you looking to adopt and why have your chosen this breed?

What qualities would you like to have in a horse? (i.e. age, color, sex, size, temperament) Please explain in detail

What riding discipline is your primary focus?
How often do you want to ride/drive your horse?*
How would you rate your riding ability?*
Do you have a trainer?*
No
Yes

If yes, please provide his/her name and contact information

Describe your trainers training philosophy

How many years of experience does your trainer have and with what types of horses?

What would be your overall goal for the horse?

If you have an unforeseen life event (i.e. loss of job, divorce, illness, pregnancy, death) what would your plan be for your adopted horse?

When would you like to adopt?

Are you interested in a specific horse?

Private Facility

(if boarding, skip this area and move to Boarding) 


Please describe where you plan to keep your horse
Are there other horses on the property?*
No
Yes

If yes, how many?

How much space will you have?
Does the property have a shelter for the horses?*
No
Yes
Will the horse have access to pasture?*
No
Yes

If yes, how many total acres?

What type of fencing surrounds the pastures/paddocks? Explain in detail (type of material, # of rails/ strands, height)

Boarding Facility

(please skip if you've filled out Private Facility)


If you plan to board your horse at a location other than your property, please provide the name, address, and phone number of the boarding facility or private farm where the horse will stay including the name of the person who owns the facility.
Do you currently board at this facility, or have you in the past?*
No
Yes

If yes, when?
Will the manager/ owner of the stable be willing to sign our "Boarding Agreement"?**
No
Yes

*This form states that they will contact 3Sisters Equine Refuge about late board payment or improper horse care. 

Will the boarding facility agree to a site visit by 3 Sisters Equine Refuge?*
No
Yes
Will the horse have shelter?*
No
Yes

If so, what kind?
Will the horse have access to pasture?*
No
Yes

If yes, how many total acres?

What type of fencing surrounds the pastures/paddocks? Explain in detail (type of material, # of rails/ strands, height)

Fencing & Shelter Image

  
Please provide a picture of the fencing, shelter(s) and property.
Valid file types: JPG, GIF, PNG, and PDF

If multiple images, please email them to 3sisterstotherescue@gmail.com 

Care & Feeding 


How many times per day will your adopted horse be fed?

Please explain

Who will be responsible for feeding the horse?

If fed in the pasture, how will you assure the horse is receiving the proper and required amount of feed?

What type of grain and hay will the horse be fed?

Based on your experience, how much grain and hay per day do you think the horse will need?
Will your horse have access to grass pasture?*
No
Yes

How often will you de-worm your adopted horse?

What annual vaccinations will your horse receive? Please list
Do you have an equine veterinarian?*
No
Yes

If yes, please provide the name and contact information for your vet.

Please describe how often you will have the horse seen by your vet and for what kinds of care.
Do you have a farrier?*
No
Yes

If yes, please provide the name and contact information for your farrier.

Please describe how often you will have your farrier provide hoof care for your horse

Please describe how often you will have your horses teeth checked and floated
Have you ever been charged with animal cruelty or domestic violence?*
No
Yes
Have you ever surrendered an animal to a rescue agency or to law enforcement in the past?*
No
Yes

If yes, please explain

References

Provide the following for three NON- FAMILY references:

  • Name
  • Phone number(s)
  • Email address


Reference One

Reference Two

Reference Three

How did you hear about our rescue? Please specify

BY SIGNING, YOU CERTIFY THAT ALL OF THE INFORMATION YOU HAVE PROVIDED IS TRUE AND CORRECT TO THE BEST OF YOUR KNOWLEDGE. 

Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Do you own your property or rent?*

If rental, please provide the name and number of your landlord

Facebook profile link

Instagram profile link

Work phone number

Financial Information 


Name of employer

How long have you been employed there?

What is your occupation?
Do you work full-time, part-time, or are you self-employed?*

If self-employed, please describe your profession
What is your household's total annual income?*
Will there be anyone helping you pay for the care of the horse?*
No
Yes

If yes, please explain
Do you understand the cost per year to own your adopted horse?*
No
Yes

Please list all potential expenses with estimated amounts.

Horse Experience and History


What is your experience with horses?
Do you currently own a horse?*
No
Yes

If so, how many?
If not, have you ever owned a horse?*
Do you have experience with training green or wild horses?*
No
Yes

If yes, please explain
Have you ever sold or re-homed a horse?*
No
Yes

If yes, please explain why you sold/re-homed the horse and how you determined who you would sell the horse to
Are you still in contact with the person(s) you sold the horse to?*

You and Your Potential Adopted Horse 


What breed of horse are you looking to adopt and why have your chosen this breed?

What qualities would you like to have in a horse? (i.e. age, color, sex, size, temperament) Please explain in detail

What riding discipline is your primary focus?
How often do you want to ride/drive your horse?*
How would you rate your riding ability?*
Do you have a trainer?*
No
Yes

If yes, please provide his/her name and contact information

Describe your trainers training philosophy

How many years of experience does your trainer have and with what types of horses?

What would be your overall goal for the horse?

If you have an unforeseen life event (i.e. loss of job, divorce, illness, pregnancy, death) what would your plan be for your adopted horse?

When would you like to adopt?

Are you interested in a specific horse?

Private Facility

(if boarding, skip this area and move to Boarding) 


Please describe where you plan to keep your horse
Are there other horses on the property?*
No
Yes

If yes, how many?

How much space will you have?
Does the property have a shelter for the horses?*
No
Yes
Will the horse have access to pasture?*
No
Yes

If yes, how many total acres?

What type of fencing surrounds the pastures/paddocks? Explain in detail (type of material, # of rails/ strands, height)

Boarding Facility

(please skip if you've filled out Private Facility)


If you plan to board your horse at a location other than your property, please provide the name, address, and phone number of the boarding facility or private farm where the horse will stay including the name of the person who owns the facility.
Do you currently board at this facility, or have you in the past?*
No
Yes

If yes, when?
Will the manager/ owner of the stable be willing to sign our "Boarding Agreement"?**
No
Yes

*This form states that they will contact 3Sisters Equine Refuge about late board payment or improper horse care. 

Will the boarding facility agree to a site visit by 3 Sisters Equine Refuge?*
No
Yes
Will the horse have shelter?*
No
Yes

If so, what kind?
Will the horse have access to pasture?*
No
Yes

If yes, how many total acres?

What type of fencing surrounds the pastures/paddocks? Explain in detail (type of material, # of rails/ strands, height)

Fencing & Shelter Image

  
Please provide a picture of the fencing, shelter(s) and property.
Valid file types: JPG, GIF, PNG, and PDF

If multiple images, please email them to 3sisterstotherescue@gmail.com 

Care & Feeding 


How many times per day will your adopted horse be fed?

Please explain

Who will be responsible for feeding the horse?

If fed in the pasture, how will you assure the horse is receiving the proper and required amount of feed?

What type of grain and hay will the horse be fed?

Based on your experience, how much grain and hay per day do you think the horse will need?
Will your horse have access to grass pasture?*
No
Yes

How often will you de-worm your adopted horse?

What annual vaccinations will your horse receive? Please list
Do you have an equine veterinarian?*
No
Yes

If yes, please provide the name and contact information for your vet.

Please describe how often you will have the horse seen by your vet and for what kinds of care.
Do you have a farrier?*
No
Yes

If yes, please provide the name and contact information for your farrier.

Please describe how often you will have your farrier provide hoof care for your horse

Please describe how often you will have your horses teeth checked and floated
Have you ever been charged with animal cruelty or domestic violence?*
No
Yes
Have you ever surrendered an animal to a rescue agency or to law enforcement in the past?*
No
Yes

If yes, please explain

References

Provide the following for three NON- FAMILY references:

  • Name
  • Phone number(s)
  • Email address


Reference One

Reference Two

Reference Three

How did you hear about our rescue? Please specify

BY SIGNING, YOU CERTIFY THAT ALL OF THE INFORMATION YOU HAVE PROVIDED IS TRUE AND CORRECT TO THE BEST OF YOUR KNOWLEDGE. 

Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Do you own your property or rent?*

If rental, please provide the name and number of your landlord

Facebook profile link

Instagram profile link

Work phone number

Financial Information 


Name of employer

How long have you been employed there?

What is your occupation?
Do you work full-time, part-time, or are you self-employed?*

If self-employed, please describe your profession
What is your household's total annual income?*
Will there be anyone helping you pay for the care of the horse?*
No
Yes

If yes, please explain
Do you understand the cost per year to own your adopted horse?*
No
Yes

Please list all potential expenses with estimated amounts.

Horse Experience and History


What is your experience with horses?
Do you currently own a horse?*
No
Yes

If so, how many?
If not, have you ever owned a horse?*
Do you have experience with training green or wild horses?*
No
Yes

If yes, please explain
Have you ever sold or re-homed a horse?*
No
Yes

If yes, please explain why you sold/re-homed the horse and how you determined who you would sell the horse to
Are you still in contact with the person(s) you sold the horse to?*

You and Your Potential Adopted Horse 


What breed of horse are you looking to adopt and why have your chosen this breed?

What qualities would you like to have in a horse? (i.e. age, color, sex, size, temperament) Please explain in detail

What riding discipline is your primary focus?
How often do you want to ride/drive your horse?*
How would you rate your riding ability?*
Do you have a trainer?*
No
Yes

If yes, please provide his/her name and contact information

Describe your trainers training philosophy

How many years of experience does your trainer have and with what types of horses?

What would be your overall goal for the horse?

If you have an unforeseen life event (i.e. loss of job, divorce, illness, pregnancy, death) what would your plan be for your adopted horse?

When would you like to adopt?

Are you interested in a specific horse?

Private Facility

(if boarding, skip this area and move to Boarding) 


Please describe where you plan to keep your horse
Are there other horses on the property?*
No
Yes

If yes, how many?

How much space will you have?
Does the property have a shelter for the horses?*
No
Yes
Will the horse have access to pasture?*
No
Yes

If yes, how many total acres?

What type of fencing surrounds the pastures/paddocks? Explain in detail (type of material, # of rails/ strands, height)

Boarding Facility

(please skip if you've filled out Private Facility)


If you plan to board your horse at a location other than your property, please provide the name, address, and phone number of the boarding facility or private farm where the horse will stay including the name of the person who owns the facility.
Do you currently board at this facility, or have you in the past?*
No
Yes

If yes, when?
Will the manager/ owner of the stable be willing to sign our "Boarding Agreement"?**
No
Yes

*This form states that they will contact 3Sisters Equine Refuge about late board payment or improper horse care. 

Will the boarding facility agree to a site visit by 3 Sisters Equine Refuge?*
No
Yes
Will the horse have shelter?*
No
Yes

If so, what kind?
Will the horse have access to pasture?*
No
Yes

If yes, how many total acres?

What type of fencing surrounds the pastures/paddocks? Explain in detail (type of material, # of rails/ strands, height)

Fencing & Shelter Image

  
Please provide a picture of the fencing, shelter(s) and property.
Valid file types: JPG, GIF, PNG, and PDF

If multiple images, please email them to 3sisterstotherescue@gmail.com 

Care & Feeding 


How many times per day will your adopted horse be fed?

Please explain

Who will be responsible for feeding the horse?

If fed in the pasture, how will you assure the horse is receiving the proper and required amount of feed?

What type of grain and hay will the horse be fed?

Based on your experience, how much grain and hay per day do you think the horse will need?
Will your horse have access to grass pasture?*
No
Yes

How often will you de-worm your adopted horse?

What annual vaccinations will your horse receive? Please list
Do you have an equine veterinarian?*
No
Yes

If yes, please provide the name and contact information for your vet.

Please describe how often you will have the horse seen by your vet and for what kinds of care.
Do you have a farrier?*
No
Yes

If yes, please provide the name and contact information for your farrier.

Please describe how often you will have your farrier provide hoof care for your horse

Please describe how often you will have your horses teeth checked and floated
Have you ever been charged with animal cruelty or domestic violence?*
No
Yes
Have you ever surrendered an animal to a rescue agency or to law enforcement in the past?*
No
Yes

If yes, please explain

References

Provide the following for three NON- FAMILY references:

  • Name
  • Phone number(s)
  • Email address


Reference One

Reference Two

Reference Three

How did you hear about our rescue? Please specify

BY SIGNING, YOU CERTIFY THAT ALL OF THE INFORMATION YOU HAVE PROVIDED IS TRUE AND CORRECT TO THE BEST OF YOUR KNOWLEDGE. 

Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email
Check to receive information, news, and discounts by e-mail.
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Do you own your property or rent?*

If rental, please provide the name and number of your landlord

Facebook profile link

Instagram profile link

Work phone number

Financial Information 


Name of employer

How long have you been employed there?

What is your occupation?
Do you work full-time, part-time, or are you self-employed?*

If self-employed, please describe your profession
What is your household's total annual income?*
Will there be anyone helping you pay for the care of the horse?*
No
Yes

If yes, please explain
Do you understand the cost per year to own your adopted horse?*
No
Yes

Please list all potential expenses with estimated amounts.

Horse Experience and History


What is your experience with horses?
Do you currently own a horse?*
No
Yes

If so, how many?
If not, have you ever owned a horse?*
Do you have experience with training green or wild horses?*
No
Yes

If yes, please explain
Have you ever sold or re-homed a horse?*
No
Yes

If yes, please explain why you sold/re-homed the horse and how you determined who you would sell the horse to
Are you still in contact with the person(s) you sold the horse to?*

You and Your Potential Adopted Horse 


What breed of horse are you looking to adopt and why have your chosen this breed?

What qualities would you like to have in a horse? (i.e. age, color, sex, size, temperament) Please explain in detail

What riding discipline is your primary focus?
How often do you want to ride/drive your horse?*
How would you rate your riding ability?*
Do you have a trainer?*
No
Yes

If yes, please provide his/her name and contact information

Describe your trainers training philosophy

How many years of experience does your trainer have and with what types of horses?

What would be your overall goal for the horse?

If you have an unforeseen life event (i.e. loss of job, divorce, illness, pregnancy, death) what would your plan be for your adopted horse?

When would you like to adopt?

Are you interested in a specific horse?

Private Facility

(if boarding, skip this area and move to Boarding) 


Please describe where you plan to keep your horse
Are there other horses on the property?*
No
Yes

If yes, how many?

How much space will you have?
Does the property have a shelter for the horses?*
No
Yes
Will the horse have access to pasture?*
No
Yes

If yes, how many total acres?

What type of fencing surrounds the pastures/paddocks? Explain in detail (type of material, # of rails/ strands, height)

Boarding Facility

(please skip if you've filled out Private Facility)


If you plan to board your horse at a location other than your property, please provide the name, address, and phone number of the boarding facility or private farm where the horse will stay including the name of the person who owns the facility.
Do you currently board at this facility, or have you in the past?*
No
Yes

If yes, when?
Will the manager/ owner of the stable be willing to sign our "Boarding Agreement"?**
No
Yes

*This form states that they will contact 3Sisters Equine Refuge about late board payment or improper horse care. 

Will the boarding facility agree to a site visit by 3 Sisters Equine Refuge?*
No
Yes
Will the horse have shelter?*
No
Yes

If so, what kind?
Will the horse have access to pasture?*
No
Yes

If yes, how many total acres?

What type of fencing surrounds the pastures/paddocks? Explain in detail (type of material, # of rails/ strands, height)

Fencing & Shelter Image

  
Please provide a picture of the fencing, shelter(s) and property.
Valid file types: JPG, GIF, PNG, and PDF

If multiple images, please email them to 3sisterstotherescue@gmail.com 

Care & Feeding 


How many times per day will your adopted horse be fed?

Please explain

Who will be responsible for feeding the horse?

If fed in the pasture, how will you assure the horse is receiving the proper and required amount of feed?

What type of grain and hay will the horse be fed?

Based on your experience, how much grain and hay per day do you think the horse will need?
Will your horse have access to grass pasture?*
No
Yes

How often will you de-worm your adopted horse?

What annual vaccinations will your horse receive? Please list
Do you have an equine veterinarian?*
No
Yes

If yes, please provide the name and contact information for your vet.

Please describe how often you will have the horse seen by your vet and for what kinds of care.
Do you have a farrier?*
No
Yes

If yes, please provide the name and contact information for your farrier.

Please describe how often you will have your farrier provide hoof care for your horse

Please describe how often you will have your horses teeth checked and floated
Have you ever been charged with animal cruelty or domestic violence?*
No
Yes
Have you ever surrendered an animal to a rescue agency or to law enforcement in the past?*
No
Yes

If yes, please explain

References

Provide the following for three NON- FAMILY references:

  • Name
  • Phone number(s)
  • Email address


Reference One

Reference Two

Reference Three

How did you hear about our rescue? Please specify

BY SIGNING, YOU CERTIFY THAT ALL OF THE INFORMATION YOU HAVE PROVIDED IS TRUE AND CORRECT TO THE BEST OF YOUR KNOWLEDGE. 

Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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