Adoption Interest Application

FLSS School Horse Retirement Program
Adoption Interest Application

After submitting your information, an FLSS 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

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 *

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

In detail, please describe your horse handling experience *

In detail, please describe your horseback riding experience *

On average, how many hours per week will this horse be ridden? Also, please indicate how much time during each ride will be used to Walk, Trot, and Canter *

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? The intention of our program is to re-home horses into suitable "forever homes." This means we expect you to properly care for this horse until the end of his/her life. A horse may live for over 30 years, so we would like to emphasize the level of financial and personal commitment necessary to adopt a horse. *

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 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? *

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? *

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

Name *

First

Last

Name of Business *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

If you have a current VETERINARIAN, we will need a reference (if not, 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? *

If you have a current FARRIER, we will need a reference (if not, 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? *

If you have a current EQUINE DENTAL VETERINARIAN OR CERTIFIED DENTAL TECHNICIAN, we will need a reference (if not, 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

FLSS School Horse Retirement Program​Adoption Interest Application

FLSS School Horse Retirement Program
Adoption Interest Application