Adoption Interest Application

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FLSS School Horse Retirement Program
Adoption Interest Application

After submitting your information, a School Horse Retirement Program Committee Member will review your application, and if approved, will contact you via e-mail or phone. Thank you for your interest!

* Indicates required field

How did you hear about our organization? *

Internet Search Advertisement Friend Social Media Event or Fundraiser Other

If Other please specify: *

Name of the horse from our Available for Adoption list who you are interested in: *

If the horse you are applying for is no longer available, do you want us to continue processing your application to be approved for a different horse? *

Yes No

Please provide us with your contact information:

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Cell Phone Number *

Home Phone Number *

Work Phone Number *

What is your place of employment and years there? *

Have you previously owned a horse before? *

Yes No Leased Was caretaker of a horse I didn't own

If yes, please describe the circumstances, where is he/she now, and why? *

Are you interested in adopting a horse with physical limitations (strictly companion, none or light riding only) *

Yes No Maybe (please explain in Comments box below)

Comments *

What disciplines of training in the horse are you looking for? *

English Western Driving Therapuetic Trail Riding Other (please explain in Comments box below)

Comments *

If rideable, who will be riding the horse? Please list their age(s), height, and weight. *

Please describe your horse handling experience *

Please describe your horseback riding experience *

What is your intended use for this horse? *

Light Riding/ Pleasure Trail Riding Companion Only Companion with occasional light riding Youth riding Lesson Program Therapeutic Program Showing Jumping

On average, how many hours per week will this horse be ridden? *

Do you plan to use this horse in a lesson or therapy program that would make a profit? *

Yes Maybe No

What are your plans for the horse when it is aged and/or it can no longer be ridden? *

Will this horse be boarded on your property? *

Yes No

If not, please provide the following information about the boarding facility you will keep the horse at:

Name of Boarding Facility *

Name of Owner or Barn Manager *

First

Last

Boarding Facility Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Please describe the type of shelter the horse will have *

What type of fencing is used where the horse will be turned out? *

What is the size of the area for turnout? *

How long will the horse be turned out each day? *

What type of hay will be fed to the horse and at what amounts each day? *

Will horses be fed together or separately? *

How is grain & hay stored on the property? *

How is water supplied to the horses? *

Will the horse have access to a salt or mineral block? *

If adopting a senior horse, do you or the barn manager have experience feeding an aged equine? *

Yes No Not sure

How will the horse be introduced to its new home and pasture mates? *

How often will you be deworming the horse? *

Will you or the boarding facility utilize Fecal Egg Counts and/or rotational deworming practices? *

Yes No

If the horse requires daily medication or medical treatment, who will provide the horse with it? *

Me, personally The Barn Manager Stable workers A friend Other (please explain in Comments box below)

Comments *

How often will the farrier trim or shoe the horse? *

How often will the horse receive a dental exam and appropriate floating? *

How often will you vaccinate and for what diseases? *

Please describe your understanding of the symptoms of colic, founder, general lameness, injuries, and general illness in horses and what your course of action will be under those circumstances: *

If the horse falls ill or is injured, under the direction of the veterinarian, who will be managing treatment of the horse? *

Me, personally The Barn Manager Stableworkers A family member or friend The horse will go to the clinic if needed

If you plan to use the help of a trainer, riding instructor, or friend, please provide their contact information:

Name *

First

Last

[object Object]

Name of Business *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Current VETERINARIAN, (if none, please list the veterinarian or practice that will serve the horse if adopted):

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Name on the Account *

How long have you been a client of this veterinarian or practice? *

Current FARRIER (if none, please list the farrier that will serve the horse if adopted):

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Please list the farrier's years of experience working on horses as well as the horseshoeing program they graduated from or participated in *

How long have you been a client of this farrier's? *

Current EQUINE DENTAL VETERINARIAN OR CERTIFIED DENTAL TECHNICIAN (if none, please list the veterinarian or technician who will serve the horse if adopted):

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Please list the veterinarian or technician's years of experience performing dentistry on horses, as well as the dental program they graduated from or participated in: *

How many years have you been a client of this veterinarian or certified dental technician? *

Please provide us with a personal reference:

Name *

First

Last

Relationship to Potential Adopter *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Submit

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HOME
ABOUT
- Board of Trustees
Membership
- Junior Friends
EVENTS
RETIREMENT PROGRAM
DONATE
VOLUNTEER
- Thanks to Volunteer Photographers
Contact Us
- Directions
- Lord Stirling Stable Park Map

FLSS School Horse Retirement Program​Adoption Interest Application

FLSS School Horse Retirement Program
Adoption Interest Application